South Boston Community Health Center

LBN: South Boston Community Health Center
South Boston Community Health Center is an health care organization with primary practice located at 409 W Broadway , South Boston MA 02127-2245. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. South Boston Community Health Center can be contacted via phone (617) 269-7500, or through Harrison, Kim Tracy via phone (617) 464-7460.

Contact Information

Primary practice address
409 W Broadway South Boston MA 02127-2245
Phone: (617) 269-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Kim Tracy
Phone: (617) 464-7460

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1295221315
LBN Legal business name South Boston Community Health Center
DBA Doing business as
Authorized official Harrison, Kim Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2018
Last updated Jul 11th, 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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