Independence Associates, Inc.

LBN: Independence Associates, Inc.
Independence Associates, Inc. is an health care organization with primary practice located at 141 Main St Fl 1 , Brockton MA 02301-4012. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Independence Associates, Inc. can be contacted via phone (508) 583-2166, or through Gallant, Constance Monique via phone (508) 583-2166.

Contact Information

Primary practice address
141 Main St Fl 1 Brockton MA 02301-4012
Phone: (508) 583-2166
Fax: (508) 583-2165
Website:
Map and Directions
Authorized official contact:
Name: Gallant, Constance Monique
Phone: (508) 583-2166

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1124238324
LBN Legal business name Independence Associates, Inc.
DBA Doing business as
Authorized official Gallant, Constance Monique
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1124238324 NPPES
Massachusetts MEDICAID 5800153

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