Family Rehab Clinic in Brockton - Preferred Provider Organization
Family Rehab Clinic - NPI 1750504957
Family Rehab Clinic is a Preferred Provider Organization in Brockton, Massachusetts. Family Rehab Clinic practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Family Rehab Clinic is 1750504957. The last update date is 2020-08-22.
Family Rehab Clinic's current location address is 231 Main St Ste 103, Brockton, Massachusetts. You can contact this provider via phone number 5085870404 and fax number 5085870458. The mailing address for Family Rehab Clinic is 231 Main St Ste 103, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Rehab Clinic |
|---|---|
| Address | 231 Main St Ste 103, Brockton, Massachusetts |
| Phone Number | 5085870404 |
| Fax Number | 5085870458 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Correia Flora |
| Telephone Number | 5982604227 |
NPI Number Detail
| NPI Number | 1750504957 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 231 Main St Ste 103 |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014342 |
| Phone Number | 5085870404 |
| Fax Number | 5085870458 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 204 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the Family Rehab Clinic's unique identification number?
The Family Rehab Clinic has been assigned the NPI (National Provider Identifier) Number 1750504957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Family Rehab Clinic's physical address?
The Family Rehab Clinic is physically located at 231 Main St Ste 103, in the city of Brockton, MA, with the postal code 23014342.
What is Family Rehab Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Family Rehab Clinic's area of specialization is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 305R00000X.
When did the Family Rehab Clinic receive its 1750504957?
The Family Rehab Clinic was issued its 1750504957 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Family Rehab Clinic last refreshed?
The information related to the Family Rehab Clinic, including its address, specialty, and other relevant details, was last updated on 2020-08-22.