SOUTHCOAST HOSPITALS GROUP, INC (NPI# 1497775381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497775381 |
| Entity Type | Organization |
| Organization Name | SOUTHCOAST HOSPITALS GROUP, INC |
| Other Organization Name | ST. LUKE'S HOSPITAL - PSYCH |
| Practice Address |
101 Page St New Bedford MA 02740-3464 |
| Mailing Address |
363 Highland Ave Fall River MA 02720-3703 |
| Practice Telephone | 5089971515 |
| Mailing Telephone | 5086793131 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-16 |
| 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 | 273R00000X | Psychiatric Unit | V113 | MA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS RI | 25427-8 | 01 | |
| BLUE CROSS | 2222002105 | 01 |
| Other Name | Type Code |
|---|---|
| St. Luke's Hospital - Psych | Other Name - Individual/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 |
| 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 |
| 1306871223 | Southcoast Hospitals Group, Inc | General Acute Care Hospital | 363 Highland Ave, Fall River, MA 02720-3703 | 2006-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTHCOAST HOSPITALS GROUP, INC. | 363 Highland Ave., Fall River, MA 02720 |
| Street Address |
101 PAGE ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485155 | Bruce P Abbott | Specialist | 101 Page St, New Bedford, MA 02740-3464 | 2005-05-31 |
| 1982205811 | Michelle Ann Guidotti | Registered Nurse | 101 Page St, New Bedford, MA 02740-3464 | 2020-11-06 |
| 1902405590 | Southcoast Health System, Inc. | Home Health | 101 Page St, New Bedford, MA 02740-3464 | 2020-10-23 |
| 1184244501 | Cassandra Lima | Registered Nurse | 101 Page St, New Bedford, MA 02740-3400 | 2020-04-26 |
| 1740818368 | Ryan Patrick Carey | Nurse Anesthetist, Certified Registered | 101 Page St, New Bedford, MA 02740-3464 | 2020-03-30 |
| 1720613177 | Kayla Marie Fraser | Physician Assistant | 101 Page St, New Bedford, MA 02740-3464 | 2020-03-05 |
| 1356981617 | Cassie Cole Costa | Physician Assistant | 101 Page St, New Bedford, MA 02740-3464 | 2020-01-14 |
| 1801435383 | Nedel Mario Merto | Nurse Anesthetist, Certified Registered | 101 Page St, New Bedford, MA 02740-3464 | 2019-12-31 |
| 1487291563 | Angela M Ruggiero | Pharmacist | 101 Page St, New Bedford, MA 02740-3464 | 2019-12-07 |
| 1194383265 | Jeffrey Raymond Woods | Registered Nurse | 101 Page St, New Bedford, MA 02740-3400 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261589 | Cambridge Health Alliance | Psychiatric Unit | 153 Leyden St Apt 2, East Boston, MA 02128-2617 | 2009-09-02 |
| 1467641126 | Boston Healthcare Va | Psychiatric Unit | 204 Bellingham Ave, Revere, MA 02151-4106 | 2007-10-18 |
| 1528261690 | Northshore Medical Center | Psychiatric Unit | 172 Lafayette St., Salem, MA 01970 | 2007-06-07 |
| 1629062906 | The Mercy Hospital Inc | Psychiatric Unit | 1233 Main St, Holyoke, MA 01040 | 2005-09-01 |
| 1194250290 | Mclean Hospital | Psychiatric Unit | 30 Warren St, Brighton, MA 02135-3602 | 2017-04-26 |
| 1285171934 | Umass Memorial Healthalliance Clinton Hospital Inc | Psychiatric Unit | 201 Highland St, Clinton, MA 01510-1037 | 2017-01-19 |
| 1700216850 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-11-26 |
| 1225399785 | Brockton Multi Services | Psychiatric Unit | 165 Quincy St, Brockton, MA 02302-2988 | 2012-05-31 |
| 1720369036 | Quincy Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-08-31 |
| 1376822676 | Morton Hospital, A Steward Family Hospital, Inc. | Psychiatric Unit | 88 Washington St, Taunton, MA 02780-2465 | 2011-08-04 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
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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.