NPIMap

Organization Active NPI

Steward Good Samaritan Occupational Health Services, Inc.

  • Occupational Medicine Clinic/Center
  • Avon, MA
National Provider Identifier
1083927693
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
STEWARD GOOD SAMARITAN OCCUPATIONAL HEALTH SERVICES, INC.
Practice address
75 Stockwell Dr
Avon, MA 02322-1170
Phone
(508) 427-3900
Fax
(617) 562-7241
NPI assigned
Jul 23, 2010
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
STEWARD HEALTH CARE SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Mark J Rich
Title
Chief Financial Officer
Phone
(617) 789-2706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

75 Stockwell Dr
Avon, MA 02322-1170

Mailing address

112 Park Ave
Whitman, MA 02382-1420
Phone (781) 447-3083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1083927693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PARK AVE",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821420",
            "telephone_number": "781-447-3083",
            "fax_number": "617-562-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STOCKWELL DR",
            "city": "AVON",
            "state": "MA",
            "postal_code": "023221170",
            "telephone_number": "508-427-3900",
            "fax_number": "617-562-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD GOOD SAMARITAN OCCUPATIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTH CARE SYSTEM LLC",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-789-2706"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.