FENWAY COMMUNITY HEALTH CENTER NPI 1174620686

NPI Information

NPI: 1174620686
Provider Name: FENWAY COMMUNITY HEALTH CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7 HAVILAND ST
BOSTON, MA
ZIP 02115
Phone: (617) 267-0900
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FENWAY COMMUNITY HEALTH CENTER is a mental health counselor in Boston, MA. FENWAY COMMUNITY HEALTH CENTER NPI is 1174620686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7 HAVILAND ST
BOSTON, MA
ZIP 02115-683
Phone: (617) 267-0900
Fax: (617) 927-5410

The provider's authorized official is Carlos Vaquerano .
The authorized official title is Mental Health Referral Coordinator and has the following contact phone number (617) 927-6073.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 3/21/2008.

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	101YM0800X	Counselor	Mental Health	113303	MASSACHUSETTS	Yes

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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