| Organization Name: | SOUTHCOAST HOSPITALS GROUP, INC |
| NPI Number: | 1174543045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT FLANAGAN (DIRECTOR AMBULATORY PHARMACY SERVIC) |
| Mailing Address: | 200 Mill Rd Suite 120 Fairhaven |
| State: | MA US |
| Postal Code: | 027195252 |
| Phone Number: | 5089733300 |
| Fax Number: | 5089733305 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | V113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |