Provider Demographics
NPI:1184800369
Name:A RICHARD COTE
Entity type:Organization
Organization Name:A RICHARD COTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-676-5000
Mailing Address - Street 1:302 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5402
Mailing Address - Country:US
Mailing Address - Phone:508-676-5000
Mailing Address - Fax:508-676-7910
Practice Address - Street 1:302 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5402
Practice Address - Country:US
Practice Address - Phone:508-676-5000
Practice Address - Fax:508-676-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47517332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6190987Medicaid
MA4327220001Medicare NSC
MA6190987Medicaid
J04308Medicare PIN