GODDARD BROCKTON KIDNEY CENTER – NPI #1316022064
Clinic/Center
GODDARD BROCKTON KIDNEY CENTER is an AHC clinic located in STOUGHTON, MA. NPPES has assigned the NPI number 1316022064 to GODDARD BROCKTON KIDNEY CENTER on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GODDARD BROCKTON KIDNEY CENTER” is a dba name, the actual legal business name for this organization is COMMONWEALTH HEALTH SYSTEMS INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 17 years ago on Feb 26, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GODDARD BROCKTON KIDNEY CENTER below.
NPI Profile for
COMMONWEALTH HEALTH SYSTEMS INC.
(more than 19 years ago)
SUITE M107
STOUGHTON, MA 02072-3374 Phone: (781) 341-8550 Fax: (781) 341-8768
SHARON, MA 02067-2436 Phone: (781) 341-8550 Fax: (781) 341-8768
PRESIDENT
Phone: (781) 341-8550
Identifiers for GODDARD BROCKTON KIDNEY CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | MA | 222222310 |
| OTHER | HARVARD PILGRIM HEALTH | MA | 626151 |
| OTHER | TUFTS | MA | 730145 |
| MEDICAID | MA | 1309536 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
MA |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.