Organization
SOUTH SHORE ARC, INC
Active
Organization
SOUTH SHORE ARC, INC
Active
Other names
first early intervention
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLY COOK (EXECUTIVE DIRECTOR)
(781) 335-3025
Entity
Organization
Contact information
Practice address
574 MAIN ST, SOUTH WEYMOUTH, MA 02190-1818
(781) 331-2533
Mailing address
371 RIVER ST, NORTH WEYMOUTH, MA 02191-2200
(781) 335-3023
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000021024
BOSTON MEDICAL CENTER HEA
MA
01
—
0008582
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0182128
AETNA US HEALTHCARE
MA
05
—
1801538
—
MA
01
—
2045129
CIGNA
MA
01
—
34093
FALLON COMMUNITY HEALTH
MA
01
—
410232
HEALTHCARE VALUE MANAGEME
MA
01
—
603917
HARVARD PILGRIM HEALTH CA
MA
01
—
717088
TUFTS HEALTH PLAN
MA
01
—
7509020
UNITED HEALTHCARE
MA
01
—
EI0007
CLUE CROSS BLUE SHIELD
MA
Enumeration date
02/08/2007
Last updated
08/22/2020
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