BETH ISRAEL DEACONESS MEDICAL CENETR NPI 1790804623

NPI Information

NPI: 1790804623
Provider Name: BETH ISRAEL DEACONESS MEDICAL CENETR

Doing Business As: BOWDOIN STREET HEALTH CENTER

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

Specialization: Community Health

Address:
230 BOWDOIN ST
DORCHESTER, MA
ZIP 02122
Phone: (617) 754-0100
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BETH ISRAEL DEACONESS MEDICAL CENETR is a community health clinic center in Dorchester, MA. BETH ISRAEL DEACONESS MEDICAL CENETR NPI is 1790804623. The provider is registered as an organization entity type.
The provider Is Doing Business As Bowdoin Street Health Center.

The provider's business location address is:

230 BOWDOIN ST
DORCHESTER, MA
ZIP 02122-817
Phone: (617) 754-0100
Fax: (617) 754-0230

The provider's authorized official is Adela Margules .
The authorized official title is Executive Director and has the following contact phone number (617) 754-0100.

The enumeration date for this NPI number is 3/29/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	191735	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: 4/28/2024

NPI Synchronization or Removal

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