Organization
COMMONWEALTH HEALTH SYSTEMS INC.
Active
Other names
Goddard Brockton Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREEKANT CHOPRA M.D. (PRESIDENT)
(781) 341-8550
Entity
Organization
Contact information
Practice address
907 SUMNER ST, SUITE M107, STOUGHTON, MA 02072-3374
(781) 341-8550
(781) 341-8768
Mailing address
53 EISENHOWER DR, SHARON, MA 02067-2436
(781) 341-8550
(781) 341-8768
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309536
—
MA
01
—
222222310
BLUE CROSS BLUE SHIELD
MA
01
—
626151
HARVARD PILGRIM HEALTH
MA
01
—
730145
TUFTS
MA
Enumeration date
10/25/2006
Last updated
02/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us