Codman Square Health Center

LBN: Codman Square Health Center
Codman Square Health Center is an health care organization with primary practice located at 637 Washington St , Dorchester Center MA 02124-3510. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Codman Square Health Center can be contacted via phone (617) 825-9660, or through Tao, Jaiqi via phone (617) 825-9660.

Contact Information

Primary practice address
637 Washington St Dorchester Center MA 02124-3510
Phone: (617) 825-9660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tao, Jaiqi
Phone: (617) 825-9660

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1801099346
LBN Legal business name Codman Square Health Center
DBA Doing business as
Authorized official Tao, Jaiqi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1801099346 NPPES
Massachusetts MEDICAID 1211757

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