SOUTH END COMMUNITY HEALTH CENTER NPI 1962792200

NPI Information

NPI: 1962792200
Provider Name: SOUTH END COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1601 WASHINGTON ST
BOSTON, MA
ZIP 02118
Phone: (617) 425-2000
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SOUTH END COMMUNITY HEALTH CENTER is an urgent care clinic center in Boston, MA. SOUTH END COMMUNITY HEALTH CENTER NPI is 1962792200. The provider is registered as an organization entity type.

The provider's business location address is:

1601 WASHINGTON ST
BOSTON, MA
ZIP 02118-951
Phone: (617) 425-2000
Fax: (617) 424-8725

The provider's authorized official is Robert Johnson .
The authorized official title is Ceo and has the following contact phone number (617) 425-2000.

The enumeration date for this NPI number is 4/7/2011 and was last updated on 4/7/2011.

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	261QU0200X	Clinic/Center	Urgent Care	4031	MASSACHUSETTS	Yes

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
1	1301993	MEDICAID	MASSACHUSETTS
2	110009433B	MEDICAID	MASSACHUSETTS

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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