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BOSTON MEDICAL CENTER CORPORATION NPI 1861683518


NPI Information

NPI: 1861683518
Provider Name: BOSTON MEDICAL CENTER CORPORATION

Doing Business As: EAST BOSTON NEIGHBORHOOD HEALTH CENTER

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

Specialization: Community Health

CLIA Number: 22D2007442

Address:
10 GOVE ST
EAST BOSTON, MA
ZIP 02128
Phone: (617) 569-5800
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BOSTON MEDICAL CENTER CORPORATION is a community health clinic center in East Boston, MA. BOSTON MEDICAL CENTER CORPORATION NPI is 1861683518. The provider is registered as an organization entity type.
The provider Is Doing Business As East Boston Neighborhood Health Center.

The provider's business location address is:

10 GOVE ST
EAST BOSTON, MA
ZIP 02128-920
Phone: (617) 569-5800
Fax: (617) 568-4780

The provider's authorized official is James O Taylor .
The authorized official title is Chief Medical Officer and has the following contact phone number (617) 568-4570.

The CLIA number assigned to this NPI record is 22D2007442 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/7/2007 and was last updated on 4/17/2008.


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 HealthV112MASSACHUSETTSYes

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
1220031MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

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: 11/14/2023

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