South End Community Health Center

LBN: South End Community Health Center
South End Community Health Center is an health care organization with primary practice located at 1601 Washington St , Boston MA 02118-1951. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. South End Community Health Center can be contacted via phone (617) 425-2000, or through Johnson, Robert via phone (617) 425-2000.

Contact Information

Primary practice address
1601 Washington St Boston MA 02118-1951
Phone: (617) 425-2000
Fax: (617) 424-8725
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Robert SR
Phone: (617) 425-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 4031 Massachusetts

Profile Details

NPI number 1962792200
LBN Legal business name South End Community Health Center
DBA Doing business as
Authorized official Johnson, Robert SR
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2011
Last updated Apr 7th, 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 1962792200 NPPES
Massachusetts MEDICAID 1301993
Massachusetts MEDICAID 110009433B

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