BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM INC. NPI 1962645572

NPI Information

  • NPI: 1962645572
  • Provider Name: BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: PINE STREET INN AT SHATTUCK
  • CLIA Number: 22D0974805
  • Address: 170 MORTON ST
    JAMAICA PLAIN, MA
    ZIP 02130
  • Phone: (617) 983-0351

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NPI Details

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. is a federally qualified health center (fqhc) clinic center in Jamaica Plain, MA. BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. NPI is 1962645572. The provider is registered as an organization entity type.
The provider Other Name Is Pine Street Inn At Shattuck.

The provider's business location address is:

170 MORTON ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 983-0351
Fax: (617) 971-3121

The provider's authorized official is Agnes W Leung .
The authorized official title is Chief Financial Officer and has the following contact phone number (857) 654-1200.

The CLIA number assigned to this NPI record is 22D0974805 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/13/2009 and was last updated on 5/23/2018.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)4LQXMASSACHUSETTSYes

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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