SOUTHCOAST URGENT CARE CENTER
NPI 1861830143
Emergency Medicine in Fairhaven, MA

Active since June 10, 2013CLIA 22D0868478 · Waiver
208 MILL RD, FAIRHAVEN, MA 02719(855) 319-0518 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southcoast Urgent Care Center NPPES

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

SOUTHCOAST URGENT CARE CENTER (NPI 1861830143) is a healthcare organization registered as an emergency medicine in Fairhaven, Massachusetts and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Tammy Zizzo, Director, Cbo, as its authorized official.

NPPES Registry Identity

NPI1861830143
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHCOAST PHYSICIANS GROUP, INC.
Location Address208 MILL RDFairhaven, MA 02719-5208
Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Organization SubpartNo
Authorized OfficialTammy ZizzoDirector, Cbo · (508) 973-2044
Enumeration DateJune 10, 2013
Last NPPES UpdateJune 8, 2017
NPI 1861830143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
208 MILL RD, Fairhaven, MA 02719

Other Names 1

Doing Business AsSouthcoast Urgent Care Center

Other Identifiers 4

Medicaid110072422AMA
OtherCD2506MA · Railroad Medicare
OtherDT1369RI · Railroad Medicare
MedicaidBM20689RI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0868478

Southcoast Health Urgent Care Center · Fairhaven, MA
Active · expires Apr 30, 2028
CLIA Number22D0868478
Laboratory TypeUrgent Care Center
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorSusruta Prusty
Laboratory Phone(855) 319-0518
Laboratory LocationSouthcoast Health Urgent Care Center208 Mill Road, Fairhaven, MA 02719
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
208 MILL RD, STE 101
FAIRHAVEN, MA 02719
Physician Assistant (Surgical)
208 MILL RD
FAIRHAVEN, MA 02719
Nurse Practitioner
208 MILL RD
FAIRHAVEN, MA 02719
Thoracic Surgery (Cardiothoracic Vascular Surgery)
208 MILL RD
FAIRHAVEN, MA 02719
Nurse Practitioner
208 MILL RD
FAIRHAVEN, MA 02719
Internal Medicine (Critical Care Medicine)
208 MILL RD
FAIRHAVEN, MA 02719
Surgery
208 MILL RD
FAIRHAVEN, MA 02719
Family Medicine
208 MILL RD
FAIRHAVEN, MA 02719

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 Southcoast Physicians Group, Inc.'s NPI number?

The NPI number for Southcoast Physicians Group, Inc. is 1861830143. It was assigned to this organization in the NPPES registry on June 10, 2013. The provider is doing business as Southcoast Urgent Care Center.

Where is Southcoast Physicians Group, Inc. located?

Southcoast Physicians Group, Inc. is located at 208 Mill Rd, Fairhaven, MA 02719. The listed phone number is (855) 319-0518.

What is Southcoast Physicians Group, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Southcoast Physicians Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0868478) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southcoast Physicians Group, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Harvard Pilgrim Health Care list Southcoast Physicians Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southcoast Physicians Group, Inc. was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.