The Dimock Center

LBN: Dimock Community Health Center
The Dimock Center is an health care organization with primary practice located at 55 Dimock St Credentialing Office, Roxbury MA 02119-1029. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Dimock Community Health Center can be contacted via phone (617) 442-8800, or through Aime', Kerlley via phone (617) 442-8800.

Contact Information

Primary practice address
55 Dimock St Credentialing Office Roxbury MA 02119-1029
Phone: (617) 442-8800
Fax: (617) 427-2784
Website:
Map and Directions
Authorized official contact:
Name: Aime', Kerlley
Phone: (617) 442-8800

Health care specialties

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

Profile Details

NPI number 1336563188
LBN Legal business name Dimock Community Health Center
DBA Doing business as The Dimock Center
Authorized official Aime', Kerlley
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2014
Last updated Feb 14th, 2014 - about 10 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 1336563188 NPPES
Massachusetts Other M21066 MEDICARE PTAN

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