Organization
CARITAS GOOD SAMARITAN MEDICAL CENTER-IMPATIENT GERO PSYCH
Active
Organization
CARITAS GOOD SAMARITAN MEDICAL CENTER-IMPATIENT GERO PSYCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GUYON (OFFICE CONTACT)
(508) 427-2217
Entity
Organization
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3668
Mailing address
77 WARREN STREET, PROVIDER ENROLLMENT DEPT, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008595
—
MA
Enumeration date
10/12/2006
Last updated
05/08/2008
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