SOUTH COVE COMMUNITY HEALTH CENTER NPI 1033320072

NPI Information

SOUTH COVE COMMUNITY HEALTH CENTER is a mental health (including community mental health center) clinic center in Boston, MA. SOUTH COVE COMMUNITY HEALTH CENTER NPI is 1033320072. The provider is registered as an organization entity type.

The provider's business location address is:

145 SOUTH ST
BOSTON, MA
ZIP 02111-826
Phone: (617) 521-6713

The provider's authorized official is Eugene Welch .
The authorized official title is Executive Director and has the following contact phone number (617) 521-6703.

The CLIA number assigned to this NPI record is 22D0074724 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2007 and was last updated on 10/22/2007.

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:

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