CCN: 224616 NPI: 1023096864 Organization

SOUTH BAY COMMUNITY SERVICES

1115 WEST CHESTNUT STREET , SUITE 202
BROCKTON, MA 02301

Contact Information

Phone 5085212200
Fax 5085842227
Enumeration Date 2006-01-03
Last Updated 2019-04-01

Taxonomies

Code: 261QM0801X (Primary) License State: MA License: 4222

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 1

providerType 47

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14454

providerType 47

operatingCostToChargeRatio 0.578

specialPaymentIndicator

carrierCode 14212

localityCode 01

cbsaActualGeographicLocation 14454

providerType 47

operatingCostToChargeRatio 0.578

specialPaymentIndicator

carrierCode 14212

localityCode 01

cbsaActualGeographicLocation 14454

providerType 47

operatingCostToChargeRatio 0.615

specialPaymentIndicator

carrierCode 14212

localityCode 01

cbsaActualGeographicLocation 14454

providerType 47

operatingCostToChargeRatio 0.615

specialPaymentIndicator

carrierCode 14212

localityCode 01