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CHILD HEALTH FOUNDATION NPI 1275564734


NPI Information

NPI: 1275564734
Provider Name: CHILD HEALTH FOUNDATION

Other Name: BOSTON UNIVERSITY MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
850 HARRISON AVE # ACC5
THE ADOLESCENT CENTER
BOSTON, MA
ZIP 02118
Phone: (617) 414-4086
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CHILD HEALTH FOUNDATION is a primary care clinic center in Boston, MA. CHILD HEALTH FOUNDATION NPI is 1275564734. The provider is registered as an organization entity type.
The provider Other Name Is Boston University Medical Center.

The provider's business location address is:

850 HARRISON AVE # ACC5
THE ADOLESCENT CENTER
BOSTON, MA
ZIP 02118-001
Phone: (617) 414-4086

The provider's authorized official is David Difiore .
The authorized official title is Senior Financial Officer and has the following contact phone number (617) 414-5170.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/22/2020.


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
1261QP2300XClinic/CenterPrimary Care50604MASSACHUSETTSYes

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
13005551MEDICAIDMASSACHUSETTS

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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