| Harvard Street Neighborhood Health Center | |
|
632 Blue Hill Avenue Dorchester MA 02121 | |
| (617) 822-5520 | |
| (617) 282-1450 |
| Full Name | Harvard Street Neighborhood Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 632 Blue Hill Avenue, Dorchester, Massachusetts |
| Authorized Official Name and Position | Charles A. Murphy (PRESIDENT/CEO) |
| Authorized Official Contact | 6178253400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard Street Neighborhood Health Center 632 Blue Hill Avenue Dorchester MA 02121 Ph: (617) 822-5520 | Harvard Street Neighborhood Health Center 632 Blue Hill Avenue Dorchester MA 02121 Ph: (617) 822-5520 |
| NPI Number | 1902954449 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 03/18/2014 |
| Medicare PECOS PAC ID | 0840261988 |
|---|---|
| Medicare Enrollment ID | O20110603000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902954449 | NPI | - | NPPES |
| 2229121 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 110027894B | Medicaid | MA | |
| 1305409 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | 16544 (Massachusetts) | Secondary |
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