Community Coach, Inc.

LBN: Community Coach, Inc.
Community Coach, Inc. is an health care organization with primary practice located at 25 Christy Dr , Brockton MA 02301-1813. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty. Community Coach, Inc. can be contacted via phone (781) 760-0650, or through Liberman, Igor via phone (508) 586-2222.

Contact Information

Primary practice address
25 Christy Dr Brockton MA 02301-1813
Phone: (781) 760-0650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liberman, Igor
Phone: (508) 586-2222

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Massachusetts

Profile Details

NPI number 1457739047
LBN Legal business name Community Coach, Inc.
DBA Doing business as
Authorized official Liberman, Igor
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2015
Last updated May 14th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457739047 NPPES
Massachusetts MEDICAID 110079596A

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