Provider Demographics
NPI:1942216494
Name:SOUTHCOAST WOMANS CARE PC
Entity Type:Organization
Organization Name:SOUTHCOAST WOMANS CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-679-7770
Mailing Address - Street 1:300 HANOVER ST
Mailing Address - Street 2:STE 1E
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5444
Mailing Address - Country:US
Mailing Address - Phone:508-679-7770
Mailing Address - Fax:508-679-7786
Practice Address - Street 1:300 HANOVER ST
Practice Address - Street 2:STE 1E
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5444
Practice Address - Country:US
Practice Address - Phone:508-679-7770
Practice Address - Fax:508-679-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA72991207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA625182OtherTUFTS
MAM18916OtherBCBS MA
MA3064506Medicaid
MA9750801Medicaid
MA9750801Medicaid
MA625182OtherTUFTS
MA3064506Medicaid
MAE73522Medicare UPIN