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BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM INC. NPI 1033157771


NPI Information

NPI: 1033157771
Provider Name: BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.

Doing Business As: MCINNIS HEALTH GROUP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
780 ALBANY STREET
BOSTON, MA
ZIP 02118
Phone: (857) 654-1000
Get Directions

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. is a federally qualified health center (fqhc) clinic center in Boston, MA. BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. NPI is 1033157771. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcinnis Health Group.

The provider's business location address is:

780 ALBANY STREET
BOSTON, MA
ZIP 02118-524
Phone: (857) 654-1000
Fax: (857) 654-1404

The provider's authorized official is Agnes W Leung .
The authorized official title is Chief Financial Officer and has the following contact phone number (857) 654-1200.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/14/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)4LQXMASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1221869MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSPSI - WOMEN'S CLINIC
2221870MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSPSI - MEN'S CLINIC
31310828MEDICAIDMASSACHUSETTS
4221814MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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: 4/28/2024

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