SOUTH BOSTON COMMUNITY HEALTH CENTER NPI 1295221315

NPI Information

NPI: 1295221315
Provider Name: SOUTH BOSTON COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 22D0075498

Address:
409 W BROADWAY
SOUTH BOSTON, MA
ZIP 02127
Phone: (617) 269-7500
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SOUTH BOSTON COMMUNITY HEALTH CENTER is an urgent care clinic center in South Boston, MA. SOUTH BOSTON COMMUNITY HEALTH CENTER NPI is 1295221315. The provider is registered as an organization entity type.

The provider's business location address is:

409 W BROADWAY
SOUTH BOSTON, MA
ZIP 02127-245
Phone: (617) 269-7500

The provider's authorized official is Kim Tracy Harrison .
The authorized official title is Cfo and has the following contact phone number (617) 464-7460.

The CLIA number assigned to this NPI record is 22D0075498 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/2/2018 and was last updated on 7/11/2022.

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	261QC1500X	Clinic/Center	Community Health			No
2	261QU0200X	Clinic/Center	Urgent Care			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: 4/28/2024

NPI Synchronization or Removal

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