NPIMap

Organization Active NPI

Southcoast Hospitals Group, Inc

Doing business as Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
National Provider Identifier
1922024835
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
V113 Issued in MA
Legal business name
SOUTHCOAST HOSPITALS GROUP, INC
Doing business as
Tobey Hospital
Practice address
43 High St
Wareham, MA 02571-2097
Phone
(508) 295-0880
NPI assigned
Jul 14, 2006
Last updated
May 27, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHCOAST HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Mr. William E Grigg, CPA, FHFMA
Title
Executive Vice President & Cfo
Phone
(508) 961-5016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X V113 MA Primary

Addresses

Primary practice location

43 High St
Wareham, MA 02571-2097

Mailing address

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-3131

Other names 1

  • Tobey Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041214000621 MA Part B Supplier - Clinic/Group Practice 1850282310 Receives reassigned benefits from 170 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westport, MA; Wareham, MA; Fall River, MA; Swansea, MA; North Dartmouth, MA; New Bedford, MA; Fairhaven, MA
O20070215000406 MA Part A Provider - Hospital 1850282310 Practice locations: Wareham, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922024835. Details of each certification follow.

Hospital certification: CCN 220074

Legal name
SOUTHCOAST HOSPITALS GROUP INC
Doing business as
TOBEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 5, 1998
Beds
695
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 9, 1984 in MA
Enrollment address
43 High St
Wareham, MA 25712097
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Southcoast Hospitals GroupCCN 220074 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0080852Tobey Hospital Laboratory43 High Street, Wareham, MA 02571AccreditationJan 2, 2027
22D0874987Tobey Hospital Blood Gas Laboratory43 High Street, Wareham, MA 02571AccreditationDec 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Charlton Memorial Hospital - Rehab2 organizations share this tax ID, including this one
Part of
Southcoast Health System Inc

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Huidekoper Individual Corporate Officer Jan 1, 2022
Renee Clark Individual Corporate Officer Jan 1, 2022
W Hugh Morton Individual Corporate Officer Jan 1, 2022
Donald G Giumetti Individual Corporate Officer Jan 1, 2022
Johnathan L Rounds Individual Corporate Officer Jan 1, 2022
Anil Shukla Individual Corporate Officer Jan 1, 2024
David O McCready Individual Corporate Officer Oct 1, 2023
Jay S Schachne Individual Corporate Officer Jan 1, 2022
Salman Bashir Individual Corporate Officer Jan 1, 2022
Michael J Bushell Individual Corporate OfficerEvp-Cfo Oct 7, 2024
Louis a Cabral Individual Corporate Officer Jan 1, 2022
Christopher M Hodgson Individual Corporate Officer Jan 1, 2022
Helena Dasilva Hughes Individual Corporate Officer Jan 1, 2022
Philip Rapoza Individual Corporate Officer Jan 1, 2024
Ilana Louise Feinerman Individual Corporate Officer Jan 1, 2022
Jason Rua Individual Corporate Officer Jan 1, 2022
Michael Knoll Individual W-2 Managing EmployeeVP Financial Planning & Analysis Jul 17, 2017
Dennis J Fusco Individual Corporate Officer Jan 1, 2022
Carmen F Sylvester Individual Corporate Officer Jan 1, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Practitioners & affiliated clinicians

Practitioners 91

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.

View all 91

Affiliated clinicians 1,578

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,578

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1922024835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203703",
            "telephone_number": "508-679-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HIGH ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712097",
            "telephone_number": "508-295-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST HOSPITALS GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHCOAST HEALTH SYSTEM, INC",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "GRIGG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "508-961-5016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "V113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tobey Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wareham, MA

Sources for this page

Verify at the official NPI Registry.