Codman Square Health Center, Inc

LBN: Codman Square Health Center, Inc
Codman Square Health Center, Inc 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 Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Codman Square Health Center, Inc can be contacted via phone (617) 825-9660, or through Cotterell, Sandra via phone (617) 825-9660.

Contact Information

Primary practice address
637 Washington St Dorchester Center MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
Website:
Map and Directions
Authorized official contact:
Name: Cotterell, Sandra
Phone: (617) 825-9660

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1396808309
LBN Legal business name Codman Square Health Center, Inc
DBA Doing business as
Authorized official Cotterell, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 7th, 2023 - about 2 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 1396808309 NPPES
Massachusetts MEDICAID 1211757

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