Good Samaritan Medical Practice Corp

LBN: Good Samaritan Medical Practice Corp
Good Samaritan Medical Practice Corp is an health care organization with primary practice located at 235 N Pearl St Good Samaritan Medical Center, Brockton MA 02301-1794. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Good Samaritan Medical Practice Corp can be contacted via phone (617) 562-5482, or through Holiver, John J via phone (617) 562-5482.

Contact Information

Primary practice address
235 N Pearl St Good Samaritan Medical Center Brockton MA 02301-1794
Phone: (617) 562-5482
Fax: (617) 562-5415
Website:
Map and Directions
Authorized official contact:
Name: Holiver, John J
Phone: (617) 562-5482

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1285625137
LBN Legal business name Good Samaritan Medical Practice Corp
DBA Doing business as
Authorized official Holiver, John J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285625137 NPPES
Massachusetts MEDICAID 9779213

Popular Providers