| Southcoast Physicians Group, Inc. | |
|
670 Aquidneck Avenue Middletown RI 02841 | |
| (508) 973-2432 | |
| (508) 973-2435 |
| Full Name | Southcoast Physicians Group, Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 670 Aquidneck Avenue, Middletown, Rhode Island |
| Authorized Official Name and Position | Kimberley Coon (DIRECTOR, MEDICAL STAFF SVCS) |
| Authorized Official Contact | 5089735006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast Physicians Group, Inc. 200 Mill Rd Ste 180 Fairhaven MA 02719-5255 Ph: (508) 973-2000 | Southcoast Physicians Group, Inc. 670 Aquidneck Avenue Middletown RI 02841 Ph: (508) 973-2432 |
| NPI Number | 1841787652 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841787652 | NPI | - | NPPES |
| 709004034 | Other | RI | MEDICARE |
| CD2506 | Other | MA | RAILROAD MEDICARE |
| 110072422A | Medicaid | MA | |
| BM20689 | Medicaid | RI | |
| M20518 | Other | MA | MEDICARE |
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