South Cove Community Health Center, Inc.

LBN: South Cove Community Health Center, Inc.
South Cove Community Health Center, Inc. is an health care organization with primary practice located at 885 Washington St , Boston MA 02111. 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, Inc. can be contacted via phone (617) 482-7555, or through Welch, Eugene via phone (617) 521-6703.

Contact Information

Primary practice address
885 Washington St Boston MA 02111
Fax: (617) 482-2930
Website:
Authorized official contact:
Name: Welch, Eugene

Health care specialties

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

Profile Details

NPI number 1700801263
LBN Legal business name South Cove Community Health Center, Inc.
DBA Doing business as
Authorized official Welch, Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 13th, 2018 - about 6 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 1700801263 NPPES
Massachusetts MEDICAID 1301586
Massachusetts Other M11630
Massachusetts Other 0006779
Massachusetts Other 705186

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