ROXBURY MULTI SERVICE CENTER NPI 1164557955

NPI Information

NPI: 1164557955
Provider Name: ROXBURY MULTI SERVICE CENTER
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
317 BLUE HILL AVE
DORCHESTER, MA
ZIP 02121
Phone: (617) 427-4470
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ROXBURY MULTI SERVICE CENTER is a public health or welfare in Dorchester, MA. ROXBURY MULTI SERVICE CENTER NPI is 1164557955. The provider is registered as an organization entity type.

The provider's business location address is:

317 BLUE HILL AVE
DORCHESTER, MA
ZIP 02121-302
Phone: (617) 427-4470
Fax: (617) 442-9419

The provider's authorized official is Jane B. Gotshalk .
The authorized official title is Director Of Clinical Services and has the following contact phone number (617) 427-4470.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/18/2008.

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
1	251K00000X	Public Health or Welfare				Yes

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
1	1309587	MEDICAID	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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