| South Boston Community Health Center | |
|
409 W Broadway South Boston MA 02127-2245 | |
| (617) 269-7500 | |
| (617) 464-7581 |
| Full Name | South Boston Community Health Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 409 W Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Robert Ebersole (CFO) |
| Authorized Official Contact | 6174645857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Boston Community Health Center 409 W Broadway South Boston MA 02127-2245 Ph: (617) 269-7500 | South Boston Community Health Center 409 W Broadway South Boston MA 02127-2245 Ph: (617) 269-7500 |
| NPI Number | 1952632663 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952632663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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