Active NPI
Southcoast Hospitals Group, Inc
- Home Infusion Agency
- Fairhaven, MA
National Provider Identifier
1174543045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- V113
- Legal business name
- SOUTHCOAST HOSPITALS GROUP, INC
- Practice address
- 200 Mill Rd
Suite 120
Fairhaven, MA 02719-5252 - Phone
- (508) 973-3300
- Fax
- (508) 973-3305
- NPI assigned
- Jul 20, 2006
- Last updated
- Feb 19, 2014
- Organization subpart
- Yes
- Parent organization
- SOUTHCOAST HEALTH SYSTEM, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Flanagan, RPH.
- Title
- Director Ambulatory Pharmacy Servic
- Phone
- (508) 961-5760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | V113 | MA | Primary |
Addresses
Primary practice location
200 Mill Rd
Suite 120
Fairhaven, MA 02719-5252
Mailing address
200 Mill Rd
Suite 120
Fairhaven, MA 02719-5252
Phone (508) 973-3300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804513 | Other | TUFTS | |
| 2241139 | Other | MA | NCPDP |
| 602683000 | Other | US DPT OF LABOR | |
| 0034635 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 0408221 | Medicaid | MA | |
| HT0096 | Other | BLUE CROSS | |
| 000000022409 | Other | BMC HEALTHNET | |
| 702122 | Other | HARVARD PILGRIM | |
| 6000002 | Other | UNITED HEALTH PLAN | |
| 6300655 | Other | AETNA |
Other names 1
- Southcost Home Infusion/Clinical Pharmacy
National Provider Directory
National Provider Directory- Part of
- Southcoast Health System Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- New Bedford, MA
- NPI 1902405590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392768000000",
"number": "1174543045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 120",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-3300",
"fax_number": "508-973-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 120",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-3300",
"fax_number": "508-973-3305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCOAST HOSPITALS GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHCOAST HEALTH SYSTEM, INC",
"enumeration_date": "2006-07-20",
"last_updated": "2014-02-19",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "DIRECTOR AMBULATORY PHARMACY SERVIC",
"authorized_official_telephone_number": "508-961-5760",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "MA",
"license": "V113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "804513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2241139",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DPT OF LABOR",
"identifier": "602683000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0034635",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0408221",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "HT0096",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000022409",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "702122",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "6000002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "6300655",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southcost Home Infusion/Clinical Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fairhaven, MA
- Theresa Jean Soucie, D.C.
- Southcoast Hospitals Group Inc (Southcoast Specialty Pharmacy)
- Southcoast Hospitals Group Inc (Southcoast Specialty Pharmacy)
- Southcoast Hospitals Group Inc (Southcoast Pharmacy)
- Southcoast Hospitals Group, Inc
- Southcoast Hospitals Group, Inc (Southcoast Specialty Pharmacy)
- Southcoast Hospitals Group, Inc
- Southcoast Long-Term Care Services, Inc. (Alden Court Nursing Care and Rehabilitation Center)
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.