SOUTHCOAST URGENT CARE CENTER - LAKEVILLE
NPI 1700393808
Emergency Medicine in Lakeville, MA
NPI Status: Active since January 10, 2018
- Organization
- Emergency Medicine
- Accepts Insurance
- CLIA Number: 22D2151682
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-24-2026
About SOUTHCOAST URGENT CARE CENTER - LAKEVILLE
This page provides the complete NPI Profile along with additional information for Southcoast Urgent Care Center - Lakeville, a provider established in Lakeville, Massachusetts operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1700393808 assigned on January 2018. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Southcoast Urgent Care Center - Lakeville operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Southcoast Urgent Care Center - Lakeville. The authorized official of this NPI record is Kimberley Coon (Director, Medical Staff Svcs)
- NPI
- 1700393808
- Provider Legal Name
- SOUTHCOAST PHYSICIANS GROUP, INC.
- Other Organization Name
- SOUTHCOAST URGENT CARE CENTER - LAKEVILLE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 12 MAIN ST LAKEVILLE, MA 02347
- Location Phone
- (508) 973-2432
- Mailing Address
- 200 MILL RD STE 180 FAIRHAVEN, MA 02719
- Mailing Phone
- (508) 973-2000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2018
- Last Update Date
- 01-10-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MA
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (MA) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (MA) |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (MA) |
| 4 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | (MA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110072422A | MEDICAID (05) | MA | |
| 709004034 | OTHER (01) | RI | MEDICARE |
| M20518 | OTHER (01) | MA | MEDICARE |
| BM20689 | OTHER (01) | RI | MEDICAID - RI |
| CD2506 | OTHER (01) | MA | RAILROAD MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2151682
- Facility Type
- Physician Office
- Certificate Effective Date
- July 25, 2024
- Certificate Expiration Date
- July 24, 2026
- Laboratory Director
- WARREN WOOD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southcoast Urgent Care Center - Lakeville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHCOAST URGENT CARE CENTER - LAKEVILLE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 3 | 9 | 3 | 8 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 6 | 9 | 6 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 6 + 9 + 6 + 8 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1700393808 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952382012 | SHARON L MARABLE MD Individual | Internal Medicine | 12 MAIN ST LAKEVILLE, MA 02347 (508) 946-0202 |
| 1609502384 | SANDRA ARAUJO FNP Individual | Nurse Practitioner (Family) | 12 MAIN ST LAKEVILLE, MA 02347 (508) 946-0202 |
| 1326816802 | KAILEY EMMA DEMOURA Individual | Nurse Practitioner | 12 MAIN ST LAKEVILLE, MA 02347 (508) 946-0202 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700393808, enumerated in the NPI registry as an "organization" on January 10, 2018
The provider is located at 12 Main St Lakeville, Ma 02347 and the phone number is (508) 973-2432
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D2151682 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 10, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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