Signature Healthcare Brockton Hospital

LBN: Brockton Hospital Specialty Physician Group
Signature Healthcare Brockton Hospital is an health care organization with primary practice located at 680 Centre St , Brockton MA 02302-3308. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Brockton Hospital Specialty Physician Group can be contacted via phone (508) 941-7062, or through Wallace, Eugene C. via phone (508) 941-7062.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Fax: (508) 941-6337
Website:
Authorized official contact:
Name: Wallace, Eugene C.

Profile Details

NPI number 1174560304
LBN Legal business name Brockton Hospital Specialty Physician Group
DBA Doing business as Signature Healthcare Brockton Hospital
Authorized official Wallace, Eugene C.
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Dec 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174560304 NPPES
Massachusetts MEDICAID 9757350
Massachusetts Other M19115

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