Organization
SOUTHCOAST HOSPITALS GROUP, INC
Active
Parent organization
SOUTHCOAST HEALTH SYSTEM, INC
Other names
Southcost Home Infusion/Clinical Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCOAST HEALTH SYSTEM, INC
Authorized official
MR. SCOTT FLANAGAN RPH. (DIRECTOR AMBULATORY PHARMACY SERVIC)
(508) 961-5760
Entity
Organization
Contact information
Practice address
200 MILL RD, SUITE 120, FAIRHAVEN, MA 02719-5252
(508) 973-3300
(508) 973-3305
Mailing address
200 MILL RD, SUITE 120, FAIRHAVEN, MA 02719-5252
(508) 973-3300
(508) 973-3305
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
V113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022409
BMC HEALTHNET
—
01
—
0034635
NEIGHBORHOOD HEALTH PLAN
—
05
—
0408221
—
MA
01
—
2241139
NCPDP
MA
01
—
6000002
UNITED HEALTH PLAN
—
01
—
602683000
US DPT OF LABOR
—
01
—
6300655
AETNA
—
01
—
702122
HARVARD PILGRIM
—
01
—
804513
TUFTS
—
01
—
HT0096
BLUE CROSS
—
Enumeration date
07/20/2006
Last updated
02/19/2014
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