| Organization Name: | GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC. |
| NPI Number: | 1073993937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER GEORGEOPOULOS (PRESIDENT AND CEO) |
| Mailing Address: | 135 Marion Rd Wareham |
| State: | MA US |
| Postal Code: | 025711423 |
| Phone Number: | 5089926553 |
| Fax Number: | 5089848420 |
| NPI Enumeration Date: | 06/05/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 4005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |