DR. HENRY R VAILLANCOURT MD
NPI 1093770059
Family Medicine in Fall River, MA

Active since April 20, 2006
1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC, FALL RIVER, MA 02720(508) 676-3411(508) 235-6656 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Henry R Vaillancourt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY R VAILLANCOURT MD (NPI 1093770059) is an individual family medicine provider in Fall River, Massachusetts, licensed in Massachusetts (42866) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1093770059
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HENRY R VAILLANCOURTCredential: MD
Location Address1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INCFall River, MA 02720-5923
Mailing Address1030 President Ave, Suite 104 Southcoast Physician Services IncFall River, MA 02720-5923 · (508) 676-3411 · Fax (508) 235-6656
Fax(508) 235-6656
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1093770059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 42866
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1030 PRESIDENT AVE, Fall River, MA 02720

Other Identifiers 13

Other764242MA · Tufts
OtherB10491301MA · Cigna
Other000000021256MA · Bmc Healthnet
OtherK08341MA · Blue Shield
Other60417MA · Harvard Pilgrim
Medicaid2069199MA
Other0000025599RI · Blue Shield
Other0016215MA · Neighborhood Healthplan
Other3684748MA · Healthsource
Medicare UPINA59641MA
Medicare ID-Type UnspecifiedK08341MA · Medicare
Other004393RI · Blue Chip
Other0101462MA · United Healthcare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720
Pediatrics
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Internal Medicine (Critical Care Medicine)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Nurse Practitioner (Adult Health)
1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720
Obstetrics & Gynecology
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Physician Assistant
1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720
Internal Medicine (Pulmonary Disease)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Internal Medicine (Pulmonary Disease)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Vaillancourt's NPI number?

The NPI number for Henry Vaillancourt is 1093770059. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Henry Vaillancourt located?

Henry Vaillancourt practices at 1030 President Ave Suite 104 Southcoast Physician Services Inc, Fall River, MA 02720. The listed phone number is (508) 676-3411.

What is Henry Vaillancourt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Henry Vaillancourt was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.