Full Name | Sstar |
---|---|
Speciality | Community/behavioral Health |
Location | 386 Stanley St, Fall River, Massachusetts |
Authorized Official Name and Position | Linda Smith Schofield (CREDENTIALING OFFICER) |
Authorized Official Contact | 5083243550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sstar 386 Stanley St Fall River MA 02720-6009 Ph: (508) 324-3550 | Sstar 386 Stanley St Fall River MA 02720-6009 Ph: (508) 324-3550 |
NPI Number | 1225526908 |
---|---|
Provider Enumeration Date | 04/27/2018 |
Last Update Date | 04/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225526908 | NPI | - | NPPES |
110027989J | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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