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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