Organization
SOUTHCOAST HOSPITALS GROUP, INC
Active
Parent organization
SOUTHCOAST HEALTH SYSTEM, INC
Other names
Southcoast Home Care
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
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 984-0200
(508) 984-0217
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 984-0200
(508) 984-0217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
V113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022409
BMC HEALTHNET
—
01
—
0014272
NEIGHBORHOOD HLTH PLAN
—
05
—
0612642
—
MA
01
—
120194
BLUE CROSS
—
01
—
6000002
UNITED HEALTH PLANS
—
01
—
602684300
US DPT OF LABOR
—
01
—
6300655
AETNA
—
01
—
702122
HARVARD PILGRIM
—
01
—
801326
TUFTS
—
Enumeration date
07/16/2006
Last updated
04/03/2009
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