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Contact Information

MORGAN MEMORIAL GOODWILL INDUSTRIES
1010 HARRISON AVE
ROXBURY, MA02119-2540
 Phone: 617-541-1294
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for MORGAN MEMORIAL GOODWILL INDUSTRIES

NPI Number 1174663512
LBN Legal business name MORGAN MEMORIAL GOODWILL INDUSTRIES
Authorized official PATRICK DUFF - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA Medicaid 1302787
MA Medicaid 1302795
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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