| Ccbc | |
|
19 Cedar St Taunton MA 02780-3301 | |
| (508) 823-5400 | |
| (508) 824-6604 |
| Full Name | Ccbc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 19 Cedar St, Taunton, Massachusetts |
| Authorized Official Name and Position | Philip Shea (PRESIDENT CEO) |
| Authorized Official Contact | 5089778100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccbc 1 Washington St Taunton MA 02780-3960 Ph: (508) 823-5400 | Ccbc 19 Cedar St Taunton MA 02780-3301 Ph: (508) 823-5400 |
| NPI Number | 1184858508 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 0143127779 |
|---|---|
| Medicare Enrollment ID | O20031212000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184858508 | NPI | - | NPPES |
| 1307975 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4167 (Massachusetts) | Primary |
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