Dimock Community Health Center

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

Contact Information

Primary practice address
55 Dimock St Roxbury MA 02119-1029
Phone: (617) 442-8800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reid, Deborah Sarah Licensed Clinical Social Worker (LCSW)
Phone: (617) 442-8800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Massachusetts
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 043487833 Massachusetts
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1326193269 Massachusetts

Profile Details

NPI number 1386963163
LBN Legal business name Dimock Community Health Center
DBA Doing business as
Authorized official Reid, Deborah Sarah Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2010
Last updated Jul 21st, 2022 - 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 1386963163 NPPES
Massachusetts MEDICAID 043487833

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