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NPI Code Detail

MEDICARE: BAY STATE COMMUNITY SERVICES, INC.

MEDICARE: BAY STATE COMMUNITY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center0565MA
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)4337MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000008418OTHERMABOSTON MEDICAL HEALTHNET
31003840OTHERMABEACON HEALTH - NHP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
599622801OTHERMANETWORK HEALTH
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9613043OTHERMATUFTS HEALTH PLAN

General Provider Information

NPI Number : 1134126865
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY STATE COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number : 617-376-0456
Provider Business Practice Location Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number : 617-376-0456
Authorized Official
Title or Position : CEO
Name : DR. DAURICE COX
Credential :
Telephone Number : 617-471-8400
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/18/2025

Similar Medicare Providers

1154135309 — MARISA DEL VECCHIO
Practice Location Address:
1120 HANCOCK ST
QUINCY, MA
02169-4313
Practice Phone: 617-417-8400
Practice Fax:
1558499962 — MS. JANICE HEYWARD HIGGINS LICSW
Practice Location Address:
1120 HANCOCK ST
QUINCY, MA
02169-4313
Practice Phone: 617-471-8400
Practice Fax: 617-376-0619
1801917638 — REBECCA JO FIDLER LMHC
Practice Location Address:
1120 HANCOCK ST
QUINCY, MA
02169-4313
Practice Phone: 617-471-8400
Practice Fax: 617-376-8410
1275757429 — RITA P. MACKINNON LMHC
Practice Location Address:
1120 HANCOCK ST
QUINCY, MA
02169-4313
Practice Phone: 617-471-8400
Practice Fax: 617-376-8910
1659599561 — DAURICE MARIE COX PSY.D
Practice Location Address:
1120 HANCOCK ST
QUINCY, MA
02169-4313
Practice Phone: 617-471-8400
Practice Fax:
1427365774 — MS. KATHLEEN MICHELLE CLARK MA, LMHC
Practice Location Address:
1120 HANCOCK ST
QUINCY, MA
02169-4313
Practice Phone: 617-471-8400
Practice Fax:

Directions to “BAY STATE COMMUNITY SERVICES, INC. ” Practice Location

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