DOTHOUSE HEALTH INC. NPI 1578514733

NPI Information

  • NPI: 1578514733
  • Provider Name: DOTHOUSE HEALTH INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: DOTHOUSE HEALTH
  • CLIA Number: 22D0681917
  • Address: 1353 DORCHESTER AVE
    DORCHESTER, MA
    ZIP 02122
  • Phone: (617) 740-2200

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NPI Details

DOTHOUSE HEALTH INC. is a clinic center in Dorchester, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DOTHOUSE HEALTH INC. NPI is 1578514733. The provider is registered as an organization entity type.
The provider Is Doing Business As Dothouse Health.

The provider's business location address is:

1353 DORCHESTER AVE
DORCHESTER, MA
ZIP 02122-932
Phone: (617) 740-2200
Fax: (617) 825-4972

The provider's authorized official is Sharon Champion .
The authorized official title is Credentialing Coordinator and has the following contact phone number (617) 740-2277.

The CLIA number assigned to this NPI record is 22D0681917 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 7/16/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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
1BD8771140OTHERMASSACHUSETTSFED. CONTROLLED SUBSTANCE
21211765MEDICAIDMASSACHUSETTS

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: 11/21/2025

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