| Steward Good Samaritan Medical Center, Inc. | |
|
235 N Pearl St Brockton MA 02301-1794 | |
| (508) 427-3000 | |
| (617) 562-7241 |
| Full Name | Steward Good Samaritan Medical Center, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 235 N Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | James Renna (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6174194700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steward Good Samaritan Medical Center, Inc. 235 N Pearl St Brockton MA 02301-1794 Ph: (508) 427-3000 | Steward Good Samaritan Medical Center, Inc. 235 N Pearl St Brockton MA 02301-1794 Ph: (508) 427-3000 |
| NPI Number | 1164735957 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164735957 | NPI | - | NPPES |
| 110086667B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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