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Contact Information

DIMOCK COMMUNITY SERVICES CORP
10 FORT AVE
ROXBURY, MA02119-1433
 Phone: 617-442-6778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for DIMOCK COMMUNITY SERVICES CORP

NPI # 1396890240
LBN Legal business name DIMOCK COMMUNITY SERVICES CORP
Authorized official DAVID WHITHAM - (DIRECTOR IT & AR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA Medicaid 1887980
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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