| Brockton Neighborhood Health Center | |
|
54 N Main St Brockton MA 02301 | |
| (508) 559-6699 | |
| (508) 559-5073 |
| Full Name | Brockton Neighborhood Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 54 N Main St, Brockton, Massachusetts |
| Authorized Official Name and Position | Melvin Benson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5085596699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockton Neighborhood Health Center 54 N Main St Brockton MA 02301-3907 Ph: (508) 559-6699 | Brockton Neighborhood Health Center 54 N Main St Brockton MA 02301 Ph: (508) 559-6699 |
| NPI Number | 1548663875 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548663875 | NPI | - | NPPES |
| 110028118/A | Other | MA | MASSHEALTH |
| 0006827 | Other | MA | NHP |
| BLUECROSS BLUESHIELD | Other | MA | M18107 |
| M20905 | Other | MA | MEDICARE PART B |
| 221830 | Other | MA | MEDICARE PART A |
| 606260 | Other | MA | 606260 |
| 000000021197 | Medicaid | MA | |
| 0192330 | Other | MA | UNITED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4896 (Massachusetts) | Primary |
Healing Hearts Holistically Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 North Pearl St, Brockton, MA 02301 Phone: 508-584-3278 Fax: 508-584-3279 | |
Brockton Area Multi-services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977 Fax: 508-583-5847 | |
Urogynob Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Suite 102w, Brockton, MA 02301 Phone: 508-897-4790 Fax: 508-897-4778 | |
Esp Medical Bilh Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St Ste 102w, Brockton, MA 02301 Phone: 508-521-9259 Fax: 844-823-0453 | |
Freccero Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 Byron Ave, Brockton, MA 02301 Phone: 508-583-7595 Fax: 508-559-2278 | |
Tristan Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Belmont St, Brockton, MA 02301 Phone: 508-583-1400 | |
Gis Services 2, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 189 Quincy St, Brockton, MA 02302 Phone: 508-588-6700 Fax: 508-584-3010 |