Organization
SOUTHCOAST HOSPITALS GROUP, INC
Active
Organization
SOUTHCOAST HOSPITALS GROUP, INC
Active
Parent organization
SOUTHCOAST HEALTH SYSTEM, INC
Other names
St. Luke's Hospital - Psych
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
273R00000X
Psychiatric Hospital Unit
Primary
V113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222002105
BLUE CROSS
—
01
—
25427-8
BLUE CROSS RI
—
Enumeration date
07/20/2006
Last updated
07/16/2007
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