NPIMap

Organization Active NPI

South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Weymouth, MA
National Provider Identifier
1205329265
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTH SHORE HEALTH EXPRESS, INC
Practice address
330 Washington St
Weymouth, MA 02188-2932
Phone
(781) 624-8000
NPI assigned
Jun 13, 2018
Last updated
Jun 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH SHORE HEALTH EXPRESS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Stephen Coco
Title
SVP/Cfo
Phone
(781) 624-8422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

330 Washington St
Weymouth, MA 02188-2932

Mailing address

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181011002165 MA DME Supplier - Multi-Specialty - Physician 6406108836 Practice locations: Weymouth, MA
O20181115000152 MA Part B Supplier - Clinic/Group Practice 6406108836 Receives reassigned benefits from 82 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weymouth, MA; Quincy, MA; Plymouth, MA; Kingston, MA; Braintree, MA; Abington, MA; Pembroke, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
South Shore Health Express Inc2 organizations share this tax ID, including this one
Part of
South Shore Health Express Inc

Other organizations with this tax ID 1

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

Locations

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

Practitioners & affiliated clinicians

Practitioners 9

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": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1205329265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "781-624-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882932",
            "telephone_number": "781-624-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE HEALTH EXPRESS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE HEALTH EXPRESS, INC",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "COCO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "781-624-8422"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.