Fenway Health
LBN: Fenway Community Health Center, Inc
Fenway Health is an health care organization with primary practice located at 1340 Boylston St , Boston MA 02215-4302. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Fenway Community Health Center, Inc can be contacted via phone (617) 927-4880, or through Lieberman, Jeff via phone (617) 927-6173.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 4519 | Massachusetts |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 4519 | Massachusetts |
Profile Details
| NPI number | 1003804725 |
|---|---|
| LBN Legal business name | Fenway Community Health Center, Inc |
| DBA Doing business as | Fenway Health |
| Authorized official | Lieberman, Jeff |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 7th, 2011 - about 13 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 | 1003804725 | NPPES |
| Massachusetts | MEDICAID | 1303546 |
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