Brockton Multi Service Center

LBN: The Commonwealth Of Massachusetts
Brockton Multi Service Center is an health care organization with primary practice located at 165 Quincy St , Brockton MA 02302-2988. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. The Commonwealth Of Massachusetts can be contacted via phone (508) 897-2069, or through Mackinnon, Mona via phone (774) 297-3246.

Contact Information

Primary practice address
165 Quincy St Brockton MA 02302-2988
Phone: (508) 897-2069
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mackinnon, Mona
Phone: (774) 297-3246

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Massachusetts
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1326155458
LBN Legal business name The Commonwealth Of Massachusetts
DBA Doing business as Brockton Multi Service Center
Authorized official Mackinnon, Mona
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated May 3rd, 2023 - about last year

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 1326155458 NPPES
Massachusetts MEDICAID 1305565
Massachusetts Other 2155167

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