Organization
SOUTH SHORE HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COCO (SVP/CFO)
(781) 340-8000
Entity
Organization
Contact information
Practice address
55 FOGG ROAD, SOUTH WEYMOUTH, MA 02190
(781) 340-8000
Mailing address
55 FOGG ROAD, SOUTH WEYMOUTH, MA 02190
(781) 340-8000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2107
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020047
BOSTON MEDICAL CENTER HEA
—
05
—
1001426
—
MA
05
—
1201662
—
MA
01
—
2222010001
BLUE CROSS BLUE SHIELD
—
01
—
2222010010
BLUE CROSS BLUE SHIELD
—
01
—
2222010030
BLUE CROSS BLUE SHIELD
—
01
—
50097059
BLUE CROSS BLUE SHIELD
—
01
—
900115
TUFTS HEALTH PLAN
—
01
—
90015
HARVARD PILGRIM HEALTH CA
—
01
—
902226
TUFTS HEALTH PLAN
—
Enumeration date
09/20/2006
Last updated
03/24/2021
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