| Bay Cove Early Intervention | |
|
105 Victory Rd Dorchester MA 02122-3518 | |
| (617) 371-3010 | |
| (617) 371-3044 |
| Full Name | Bay Cove Early Intervention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Victory Rd, Dorchester, Massachusetts |
| Authorized Official Name and Position | Marcel Vernon (CFO & SVP) |
| Authorized Official Contact | 6176196961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Cove Early Intervention 105 Victory Rd Dorchester MA 02122-3518 Ph: (617) 371-3010 | Bay Cove Early Intervention 105 Victory Rd Dorchester MA 02122-3518 Ph: (617) 371-3010 |
| NPI Number | 1649317595 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649317595 | NPI | - | NPPES |
| 00000000416 | Other | MA | BMC HEALTHNET |
| 042418575 | Other | MA | GUARDIAN |
| 2060689 | Other | MA | ETNA US HEALTH CARE |
| 796212 | Other | MA | NETWORK HEALTH |
| 0035 | Other | MA | BCBS |
| 718549 | Other | MA | TUFFS |
| 0008279 | Other | MA | NHP |
| 1800361 | Medicaid | MA | |
| 616020 | Other | MA | HARVARD PILGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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