Organization
CARITAS GOOD SAMARITAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RICH (CFO)
(617) 789-2515
Entity
Organization
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-2831
Mailing address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-2831
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008595
—
MA
Enumeration date
03/06/2007
Last updated
06/15/2009
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