CODMAN SQUARE HEALTH CENTER INC NPI 1922599117

NPI Information

  • NPI: 1922599117
  • Provider Name: CODMAN SQUARE HEALTH CENTER, INC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: CODMAN SQUARE HEALTH CENTER URGENT CARE
  • Address: 637 WASHINGTON STREET
    URGENT CARE DEPARTMENT
    DORCHESTER, MA
    ZIP 02124
  • Phone: (617) 822-8725

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NPI Details

CODMAN SQUARE HEALTH CENTER, INC is an urgent care clinic center in Dorchester, MA. CODMAN SQUARE HEALTH CENTER, INC NPI is 1922599117. The provider is registered as an organization entity type.
The provider Is Doing Business As Codman Square Health Center Urgent Care.

The provider's business location address is:

637 WASHINGTON STREET
URGENT CARE DEPARTMENT
DORCHESTER, MA
ZIP 02124-510
Phone: (617) 822-8725
Fax: (617) 822-8244

The provider's authorized official is Tarsha Weaver .
The authorized official title is Chief Operating Officer and has the following contact phone number (617) 822-8744.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 6/22/2023.

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
1261QU0200XClinic/CenterUrgent CareYes

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
1110022129FMEDICAIDMASSACHUSETTS

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: 3/30/2025

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