Fenway Community Health Center, Inc

LBN: Fenway Community Health Center, Inc
Fenway Community Health Center, Inc is an health care organization with primary practice located at 359 Green St , Cambridge MA 02139-3334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fenway Community Health Center, Inc can be contacted via phone (617) 927-6050, or through Daniel, Moire via phone (617) 927-6279.

Contact Information

Primary practice address
359 Green St Cambridge MA 02139-3334
Phone: (617) 927-6050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Moire
Phone: (617) 927-6279

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1689318503
LBN Legal business name Fenway Community Health Center, Inc
DBA Doing business as
Authorized official Daniel, Moire
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 26th, 2022
Last updated Apr 26th, 2022 - about 2 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 1689318503 NPPES
Massachusetts MEDICAID 1303546

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