Fenway South End

LBN: Fenway Community Health Center, Inc
Fenway South End is an health care organization with primary practice located at 142 Berkeley St , Boston MA 02116-5100. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Fenway Community Health Center, Inc can be contacted via phone (617) 247-7555, or through Lieberman, Jeffrey M via phone (617) 927-6173.

Contact Information

Primary practice address
142 Berkeley St Boston MA 02116-5100
Phone: (617) 247-7555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lieberman, Jeffrey M
Phone: (617) 927-6173

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 4519 Massachusetts

Profile Details

NPI number 1982995197
LBN Legal business name Fenway Community Health Center, Inc
DBA Doing business as Fenway South End
Authorized official Lieberman, Jeffrey M
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 21st, 2011
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982995197 NPPES
Massachusetts MEDICAID 110020739D

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