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HARBOR HEALTH SERVICES INC NPI 1659330496


NPI Information

NPI: 1659330496
Provider Name: HARBOR HEALTH SERVICES INC

Doing Business As: GEIGER GIBSON COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 22D0075422

Address:
250 MOUNT VERNON ST
DORCHESTER, MA
ZIP 02125
Phone: (617) 288-1140
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HARBOR HEALTH SERVICES INC is a community health clinic center in Dorchester, MA. HARBOR HEALTH SERVICES INC NPI is 1659330496. The provider is registered as an organization entity type.
The provider Is Doing Business As Geiger Gibson Community Health Center.

The provider's business location address is:

250 MOUNT VERNON ST
DORCHESTER, MA
ZIP 02125
Phone: (617) 288-1140
Fax: (617) 288-3910

The provider's authorized official is Charles T. Jones .
The authorized official title is President & Ceo and has the following contact phone number (617) 533-2350.

The CLIA number assigned to this NPI record is 22D0075422 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2006 and was last updated on 8/24/2017.


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
1261QC1500XClinic/CenterCommunity HealthYes

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
1M20396MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSGROUP NUMBER
2110027821DMEDICAIDMASSACHUSETTS
3221811MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
41305395MEDICAIDMASSACHUSETTS

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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