| Steppingstone Inc | |
|
279 N Main St Fall River MA 02720-2320 | |
| (508) 679-0033 | |
| (508) 679-0037 |
| Full Name | Steppingstone Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 279 N Main St, Fall River, Massachusetts |
| Authorized Official Name and Position | Katharine Tyler (DIRECTOR OF OUTPATIENT SERVICES) |
| Authorized Official Contact | 5086790033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steppingstone Inc 279 N Main St Fall River MA 02720-2320 Ph: (508) 679-0033 | Steppingstone Inc 279 N Main St Fall River MA 02720-2320 Ph: (508) 679-0033 |
| NPI Number | 1235180415 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 8022201433 |
|---|---|
| Medicare Enrollment ID | O20101018001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235180415 | NPI | - | NPPES |
| 000000029412 | Other | MA | BOSTON MEDICAL CTR |
| 1308904 | Other | MA | MBHP |
| 1308904 | Other | MA | VALUE OPTIONS |
| 1036890 | Other | MA | NEIGHBORHOOD HEALTH |
| 1311131 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4RC4 (Massachusetts) | Primary |
| Provider Name | Jonathan H Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053393462 PECOS PAC ID: 0244267177 Enrollment ID: I20050722000356 |
| Provider Name | Susan St Amour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639174535 PECOS PAC ID: 2466476809 Enrollment ID: I20060124000698 |
| Provider Name | Joanne M Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255318341 PECOS PAC ID: 9739103094 Enrollment ID: I20060125000675 |
| Provider Name | Donald T Bobola |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063628717 PECOS PAC ID: 7012070584 Enrollment ID: I20090109000047 |
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Dba Charles H Cummings Iii Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 S Main St, Fall River, MA 02724 Phone: 508-235-5290 Fax: 508-235-5352 | |
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