Organization
SOUTHCOAST HOSPITALS GROUP, INC
Active
Parent organization
SOUTHCOAST HEALTH SYSTEM, INC
Other names
St. Luke's 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
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 997-1515
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
—
000000020853
BMC HEALTHNET
—
01
—
0000005125
BLUE CROSS RI
—
05
—
0100151
—
RI
01
—
0460908
CIGNA
—
01
—
1001949
MA BEHAVIORAL HEALTH PART
—
05
—
110022082D
—
MA
05
—
110022082H
—
MA
01
—
1201751
MA BEHAVIORAL HEALTH PART
—
01
—
200772
BLUE CHIP RI
—
01
—
220074
MEDICARE
MA
01
—
2222002101
BLUE CROSS MA
—
01
—
2222002110
BLUE CROSS MA
—
01
—
2222002130
BLUE CROSS MA
—
01
—
900014
HARVARD PILGRIM
—
01
—
982006
TUFTS
—
01
—
982007
TUFTS
—
05
—
OP00151
—
RI
01
—
S012200
TRICARE FOR LIFE
—
Enumeration date
07/13/2006
Last updated
05/27/2009
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