Organization
BROCKTON NEIGHBORHOOD HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN BENSON (CHIEF FINANCIAL OFFICER)
(508) 559-6699
Entity
Organization
Contact information
Practice address
158 PLEASANT STREET, BROCKTON, MA 02301
(508) 559-6699
(508) 559-5073
Mailing address
158 PLEASANT STREET, BROCKTON, MA 02301
(508) 559-6699
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4896
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000021197
—
MA
01
—
0006827
NHP
MA
01
—
0192330
UNITED CARE
MA
05
—
110028118/A
—
MA
01
—
221830
MEDICARE PART A
MA
01
—
606260
606260
MA
01
—
M18107
BLUE CROSS BLUE SHIELD
MA
01
—
M20905
MEDICARE PART B
MA
Enumeration date
03/16/2015
Last updated
05/29/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up