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Organization

SOUTHCOAST HOSPITALS GROUP, INC

Active
Parent organization
SOUTHCOAST HEALTH SYSTEM, INC
Other names
Charlton Memorial Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHCOAST HEALTH SYSTEM, INC
Authorized official
WILLIAM E. GRIGG CPA, FHFMA (EXECUTIVE VICE PRESIDENT & CFO)
(508) 961-5016
Entity
Organization

Contact information

Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-3131
Mailing address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-3131

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
V113
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000020852
BMC HEALTHNET
01
0000005124
BLUE CROSS RI
05
0220055
RI
05
110022082D
MA
05
110022082H
MA
01
1201751
MA BEHAVIORAL HEALTH PART
01
220074
MEDICARE
MA
01
222200501
BLUE CROSS MA
01
2222005510
BLUE CROSS MA
01
2222005530
BLUE CROSS MA
01
2259416
CIGNA
01
5124-4
BLUE CROSS RI PLAN 65
01
900006
HARVARD PILGRIM
01
982008
TUFTS HEALTH PLAN
01
982009
TUFTS HEALTH PLAN
01
H00117
BLUE CHIP RI
05
OP20055
RI
01
S007424
TICARE FOR LIFE
Enumeration date
07/11/2006
Last updated
05/27/2009
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