Upham'S Corner Health Center
LBN: Upham'S Corner Health Committee, Inc.
Upham'S Corner Health Center is an health care organization with primary practice located at 500 Columbia Rd , Dorchester MA 02125-2322. The organization recently has 11 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Podiatric, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Laboratories / Clinical Medical Laboratory, Laboratories / Dental Laboratory. Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
Upham'S Corner Health Committee, Inc. can be contacted via phone (617) 287-8000, or through Trivedi, Jagdeep via phone (617) 740-8131.
Contact Information
Primary practice address
500 Columbia Rd
Dorchester MA 02125-2322
Phone: (617) 287-8000
Fax: (617) 282-8625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 490 | Massachusetts |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Laboratories / Dental Laboratory | 292200000X |
Profile Details
| NPI number | 1780780486 |
|---|---|
| LBN Legal business name | Upham'S Corner Health Committee, Inc. |
| DBA Doing business as | Upham'S Corner Health Center |
| Authorized official | Trivedi, Jagdeep |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 12th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780780486 | NPPES |
| Massachusetts | MEDICAID | 1301977 |
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