SOUTHCOAST HOSPITALS GROUP, INC (NPI# 1306871223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306871223 |
| Entity Type | Organization |
| Organization Name | SOUTHCOAST HOSPITALS GROUP, INC |
| Other Organization Name | CHARLTON MEMORIAL HOSPITAL |
| Practice Address |
363 Highland Ave Fall River MA 02720-3703 |
| Practice Telephone | 5086793131 |
| Mailing Telephone | 5086793131 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | WILLIAM E. GRIGG (EXECUTIVE VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 5089615016 |
| Authorized Official Credential | CPA, FHFMA |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHCOAST HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | V113 | MA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 0220055 | 05 | |
| MA | 110022082D | 05 | |
| MA BEHAVIORAL HEALTH PART | 1201751 | 01 | |
| BLUE CROSS MA | 222200501 | 01 | |
| TICARE FOR LIFE | S007424 | 01 | |
| BLUE CROSS MA | 2222005510 | 01 | |
| HARVARD PILGRIM | 900006 | 01 | |
| TUFTS HEALTH PLAN | 982009 | 01 | |
| BLUE CROSS RI PLAN 65 | 5124-4 | 01 | |
| BLUE CROSS RI | 0000005124 | 01 | |
| BLUE CROSS MA | 2222005530 | 01 | |
| BLUE CHIP RI | H00117 | 01 | |
| RI | OP20055 | 05 | |
| BMC HEALTHNET | 000000020852 | 01 | |
| CIGNA | 2259416 | 01 | |
| MA | MEDICARE | 220074 | 01 |
| MA | 110022082H | 05 | |
| TUFTS HEALTH PLAN | 982008 | 01 |
| Other Name | Type Code |
|---|---|
| Charlton Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013931500 | Southcoast Hospitals Group, Inc | Hospice Care, Community Based | 200 Mill Rd, Fairhaven, MA 02719-5252 | 2006-07-27 |
| 1891718474 | Southcoast Hospitals Group, Inc | Skilled Nursing Facility | 43 High St, Wareham, MA 02571-2097 | 2006-07-25 |
| 1427079037 | Southcoast Hospitals Group, Inc | Skilled Nursing Facility | 101 Page St, New Bedford, MA 02740-3464 | 2006-07-21 |
| 1174543045 | Southcoast Hospitals Group, Inc | Home Infusion | 200 Mill Rd, Suite 120, Fairhaven, MA 02719-5252 | 2006-07-20 |
| 1669492542 | Southcoast Hospitals Group, Inc | Skilled Nursing Facility | 363 Highland Ave, Fall River, MA 02720-3703 | 2006-07-20 |
| 1497775381 | Southcoast Hospitals Group, Inc | Psychiatric Unit | 101 Page St, New Bedford, MA 02740-3464 | 2006-07-20 |
| 1659398626 | Southcoast Hospitals Group, Inc | Home Health | 200 Mill Rd, Fairhaven, MA 02719-5252 | 2006-07-16 |
| 1922024835 | Southcoast Hospitals Group, Inc | General Acute Care Hospital | 43 High St, Wareham, MA 02571-2097 | 2006-07-14 |
| 1447275037 | Southcoast Hospitals Group, Inc | General Acute Care Hospital | 101 Page St, New Bedford, MA 02740-3464 | 2006-07-13 |
| Street Address |
363 HIGHLAND AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1497365530 | Kanaan Khalil El-daher | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-08-04 |
| 1669004214 | Nicole Brown | Dietitian, Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-02-11 |
| 1558901223 | Jordan Marie Wyrick | Student in an Organized Health Care Education/Training Program | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-01-10 |
| 1740821123 | Melissa F Gaffney | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-10-07 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1881164184 | Kristina V Amaral | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-11-29 |
| 1326521584 | Alyssa Oliveira | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-09-12 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720369531 | Sodexo, Inc. | General Acute Care Hospital | 4980 N Main St, Apartment 127, Fall River, MA 02720-2003 | 2011-09-07 |
| 1235676016 | Sothcoast Hospital Group | General Acute Care Hospital | 363 Highland Ave, Fall River, MA 02720-3703 | 2017-01-31 |
| 1053867002 | First Physicians Corporation | General Acute Care Hospital | 363 Highland Ave, Fall River, MA 02720-3703 | 2016-08-30 |
| 1528493921 | Southcoast Hospitals Group | General Acute Care Hospital | 363 Highland Ave, Fall River, MA 02720-3703 | 2013-09-05 |
| 1851559090 | Caritas Christi Physicians Network | General Acute Care Hospital | 795 Middle St, Fall River, MA 02721-1733 | 2008-05-23 |
| 1932298296 | Saint Anne's Hospital | General Acute Care Hospital | 795 Middle St, Fall River, MA 02721-1733 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710419023 | Shawna Josephine Flaherty | General Acute Care Hospital | 53 Keayne St, Revere, MA 02151-1819 | 2017-03-28 |
| 1740721935 | Doris Kemp | General Acute Care Hospital | 47 Austin St, Boston, MA 02136-1532 | 2017-03-20 |
| 1538607510 | Selah Health, LLC | General Acute Care Hospital | 435 Mckoy Rd, Eastham, MA 02642 | 2017-02-09 |
| 1679010839 | Newton Wellesley Hospital | General Acute Care Hospital | 31 Vine Brook Rd, Westford, MA 01886-4215 | 2017-01-26 |
| 1922551969 | Tufts Medical Center | General Acute Care Hospital | 800 Washington Street, Box 836, Boston, MA 02111 | 2016-07-26 |
| 1578921409 | Regis College | General Acute Care Hospital | 49 S Cottage Rd, Belmont, MA 02478-1155 | 2016-02-06 |
| 1114385218 | Susanne Clare | General Acute Care Hospital | 5 Hickory Ln, Georgetown, MA 01833-1801 | 2016-02-03 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1558737460 | David John Murphy | General Acute Care Hospital | Brigham and Women's Hospital, 75 Francis St, Dept Cardiovascular Imaging, Boston, MA 02115 | 2015-08-14 |
| 1235515628 | Dayna Gardner | General Acute Care Hospital | 33 East St, East Bridgewater, MA 02333-1939 | 2015-08-07 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.