Organization
BAY STATE MEDICAL EQUIPMENT DISTRIBUTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JONES JR. CFTS (PRESIDENT/PARTNER)
(508) 427-5772
Entity
Organization
Contact information
Practice address
681 N MAIN ST, BROCKTON, MA 02301-2407
(508) 427-5772
(508) 427-6362
Mailing address
681 N MAIN ST, BROCKTON, MA 02301-2407
(508) 427-5772
(508) 427-6362
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033555
BOS. MED. HEALTHNET PLAN
MA
01
—
0039743
NEIGHBORHOOD HEALTH PLAN
MA
01
—
004130
SENIOR WHOLE HEALTH
MA
05
—
1542214
—
MA
01
—
1831293208
COMMONWEALTH CARE ALLIANCE
MA
01
—
95531801
NETWORK HEALTH
MA
Enumeration date
09/07/2006
Last updated
06/16/2009
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