South Cove Community Health Center

LBN: South Cove Community Health Center
South Cove Community Health Center is an health care organization with primary practice located at 145 South St , Boston MA 02111-2826. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. South Cove Community Health Center can be contacted via phone (617) 521-6708, or through Tiberi, Eric via phone (617) 521-6708.

Contact Information

Primary practice address
145 South St Boston MA 02111-2826
Phone: (617) 521-6708
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tiberi, Eric
Phone: (617) 521-6708

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 4140 Massachusetts

Profile Details

NPI number 1285818088
LBN Legal business name South Cove Community Health Center
DBA Doing business as
Authorized official Tiberi, Eric
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2007
Last updated Dec 28th, 2007 - about 18 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 1285818088 NPPES
Other W10727 BLUE CROSS

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