Dimock Chc Optical Shop

LBN: Dimock Community Health Center
Dimock Chc Optical Shop 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 Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Dimock Community Health Center can be contacted via phone (617) 442-8800, or through Whitham, David via phone (617) 442-8800.

Contact Information

Primary practice address
55 Dimock St Roxbury MA 02119-1029
Phone: (617) 442-8800
Fax: (617) 445-0099
Website:
Map and Directions
Authorized official contact:
Name: Whitham, David
Phone: (617) 442-8800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Massachusetts

Profile Details

NPI number 1457406282
LBN Legal business name Dimock Community Health Center
DBA Doing business as Dimock Chc Optical Shop
Authorized official Whitham, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1457406282 NPPES
Massachusetts MEDICAID 1301144

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