Dimock Community Services Corp.
LBN: Dimock Community Services Corporation
Dimock Community Services Corp. is an health care organization with primary practice located at 41 Dimock St , Roxbury MA 02119-1208. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Dimock Community Services Corporation can be contacted via phone (617) 442-8800, or through Gerondeau, Peter via phone (617) 442-8800.
Contact Information
Primary practice address
41 Dimock St
Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 442-4088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Massachusetts |
Profile Details
| NPI number | 1326193269 |
|---|---|
| LBN Legal business name | Dimock Community Services Corporation |
| DBA Doing business as | Dimock Community Services Corp. |
| Authorized official | Gerondeau, Peter |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Nov 22nd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326193269 | NPPES |
| Massachusetts | Other | 221862 | MEDICARE UGS |
| Massachusetts | MEDICAID | 1301241 | MEDICARE UGS |
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