BAY STATE MEDICAL EQUIPMENT DISTRIBUTORS (NPI# 1831293208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831293208 |
| Entity Type | Organization |
| Organization Name | BAY STATE MEDICAL EQUIPMENT DISTRIBUTORS |
| Practice Address |
681 N Main St Brockton MA 02301-2407 |
| Practice Telephone | 5084275772 |
| Practice Fax Number | 5084276362 |
| Mailing Telephone | 5084275772 |
| Mailing Fax Number | 5084276362 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | MR. CHARLES JONES JR. (PRESIDENT/PARTNER) |
| Authorized Official Telephone | 5084275772 |
| Authorized Official Credential | CFTS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1542214 | 05 | |
| MA | NETWORK HEALTH | 95531801 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0039743 | 01 |
| MA | COMMONWEALTH CARE ALLIANCE | 1831293208 | 01 |
| MA | SENIOR WHOLE HEALTH | 004130 | 01 |
| MA | BOS. MED. HEALTHNET PLAN | 000000033555 | 01 |
| Street Address |
681 N MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922422252 | Acariahealth Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 260 Fordham Rd, Wilmington, MA 01887-2170 | 2014-02-06 |
| 1881923738 | Infusion Resource, LLC | Durable Medical Equipment & Medical Supplies | 74 Faunce Corner Road, Suite #610, N. Dartmouth, MA 02747 | 2009-12-23 |
| 1740414770 | Northeast Nutritionals, LLC | Durable Medical Equipment & Medical Supplies | 8 Shire Dr, Suite #3, Norfolk, MA 02056-1580 | 2009-05-05 |
| 1447462122 | Nell, Inc. | Durable Medical Equipment & Medical Supplies | 25 Railroad Square, Haverhill, MA 01832-5721 | 2007-05-04 |
| 1801907753 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4 Presidential Way Unit A, Woburn, MA 01801-1187 | 2006-08-31 |
| 1942310495 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 170 Carando Dr, Springfield, MA 01104-3275 | 2006-08-30 |
| 1154349157 | Atlantic Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3105 Cranberry Highway, E.wareham, MA 02538 | 2006-07-17 |
| 1487631644 | Boston Home Infusion Inc | Durable Medical Equipment & Medical Supplies | 30 Buckley Rd, Stoughton, MA 02072-1532 | 2005-12-29 |
| 1114926615 | Critical Care Systems, Inc | Durable Medical Equipment & Medical Supplies | 191 Bay State Dr, Braintree, MA 02184-5203 | 2005-07-18 |
| 1225336811 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 150 Recreation Park Dr, Hingham, MA 02043-4227 | 2011-03-05 |
| Find all providers with the same taxonomy | ||||
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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.