Cca Primary Care

LBN: Boston'S Community Medical Group, Inc.
Cca Primary Care is an health care organization with primary practice located at 30 Northampton Street , Boston MA 02118. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Boston'S Community Medical Group, Inc. can be contacted via phone (617) 433-9601, or through Simikic, Biljana via phone (617) 433-9601.

Contact Information

Primary practice address
30 Northampton Street Boston MA 02118
Phone: (617) 433-9601
Fax: (617) 445-6413
Website:
Map and Directions
Authorized official contact:
Name: Simikic, Biljana Doctor of Osteopathy (DO)
Phone: (617) 433-9601

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Massachusetts

Profile Details

NPI number 1235174418
LBN Legal business name Boston'S Community Medical Group, Inc.
DBA Doing business as Cca Primary Care
Authorized official Simikic, Biljana Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235174418 NPPES
Massachusetts MEDICAID 110071110A

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