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LYNN COMMUNITY HEALTH INC. NPI 1013997691


NPI Information

NPI: 1013997691
Provider Name: LYNN COMMUNITY HEALTH, INC.

Former Legal Business Name: LYNN COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 22D0072548

Address:
269 UNION STREET
LYNN, MA
ZIP 01901
Phone: (781) 596-2502
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LYNN COMMUNITY HEALTH, INC. is a community health clinic center in Lynn, MA. LYNN COMMUNITY HEALTH, INC. NPI is 1013997691. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lynn Community Health Center.

The provider's business location address is:

269 UNION STREET
LYNN, MA
ZIP 01901-314
Phone: (781) 596-2502
Fax: (781) 596-3966

The provider's authorized official is Lori Abrams Berry .
The authorized official title is Executive Director and has the following contact phone number (781) 596-2502.

The CLIA number assigned to this NPI record is 22D0072548 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/19/2006 and was last updated on 6/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity Health4735MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1221879MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
21301853MEDICAIDMASSACHUSETTS
3M21859MEDICARE PINMASSACHUSETTS
4221878MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
5221810MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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