NPIMap

Organization Active NPI

Brockton Area Multi-Services, Inc.

  • State or Local Public Health Clinic/Center
  • Brockton, MA
National Provider Identifier
1073916151
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
BROCKTON AREA MULTI-SERVICES, INC.
Practice address
801 Pleasant St
Brockton, MA 02301-3052
Phone
(508) 586-5977
Fax
(508) 583-5847
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Simonelli
Title
Ceo
Phone
(508) 580-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X MA Primary

Addresses

Primary practice location

801 Pleasant St
Brockton, MA 02301-3052

Mailing address

10 Christy Dr
Brockton, MA 02301-1812
Phone (508) 580-8700

National Provider Directory

National Provider Directory
Tax ID family
Bamsi3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Christy Dr
Brockton, MA 02301
Phone (508) 580-8700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1073916151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812",
            "telephone_number": "508-580-8700",
            "fax_number": "508-580-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013052",
            "telephone_number": "508-586-5977",
            "fax_number": "508-583-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON AREA MULTI-SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SIMONELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-580-8700"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.