| Bmc Brockton Behavioral Health Center | |
|
34 N Pearl St Brockton MA 02301-1708 | |
| (617) 414-5393 | |
| Not Available |
| Full Name | Bmc Brockton Behavioral Health Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 34 N Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | Terri T Newsom (SVP AND CFO) |
| Authorized Official Contact | 6176388000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmc Brockton Behavioral Health Center 1 Boston Medical Ctr Pl Boston MA 02118-2908 Ph: () - | Bmc Brockton Behavioral Health Center 34 N Pearl St Brockton MA 02301-1708 Ph: (617) 414-5393 |
| NPI Number | 1033854153 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 0547222051 |
|---|---|
| Medicare Enrollment ID | O20220914001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033854153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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