Steward Good Samaritan Medical Center, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.

Practice address

235 N Pearl St
Brockton, MA 02301-1794

Phone

(508) 427-3000

Fax

(617) 562-7241

NPI assigned

Jul 21, 2010

Organization subpart

Yes

Parent organization

STEWARD HEALTH CARE SYSTEM LLCAs reported in NPPES

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

Authorized official

Name

James Renna

Title

Chief Financial Officer

Phone

(617) 419-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Samaritan Medical Center Psychiatric Unit Other name

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1164735957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3000",
            "fax_number": "617-562-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3000",
            "fax_number": "617-562-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTH CARE SYSTEM LLC",
        "enumeration_date": "2010-07-21",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-419-4700"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110086667B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Medical Center Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Minelva Sterling, RN
• Jerry S Stern, M.D.
• Loupu Stevens
• Luke Addison Stevens
• Nicola S Stevens
• Steward Good Samaritan Medical Center, Inc.
• Steward Good Samaritan Medical Center, Inc.
• Steward Good Samaritan Radiation Oncology Center, Inc.
• Steward Medical Group, Inc
• Steward Pet Imaging, L.L.C.

• Psychiatric Hospital Unit in Brockton, MA
• Providers in Brockton, MA by specialty
• Psychiatric Hospital Unit in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.