INDEPENDENCE ASSOCIATES, INC.; NPI #1124238324

Contact Information

INDEPENDENCE ASSOCIATES, INC.

141 MAIN ST FL 1
BROCKTON, MA 02301-4012

Phone: 508-583-2166
Fax: 508-583-2165
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for INDEPENDENCE ASSOCIATES, INC.

NPI Number 1124238324

LBN Legal business name INDEPENDENCE ASSOCIATES, INC.

Authorized official CONSTANCE GALLANT - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/23/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

5800153

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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INDEPENDENCE ASSOCIATES, INC.

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for INDEPENDENCE ASSOCIATES, INC.

Reviews for INDEPENDENCE ASSOCIATES, INC.