| Health Svcs Homeless-dental Clinic | |
|
769 Worthington Street Hsh Dental Clinic Springfeld MA 01105-1112 | |
| (413) 731-9575 | |
| (413) 731-9575 |
| Full Name | Health Svcs Homeless-dental Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 769 Worthington Street, Springfeld, Massachusetts |
| Authorized Official Name and Position | Helen R Caulton-harris (DIRECTOR) |
| Authorized Official Contact | 4137876456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Svcs Homeless-dental Clinic 95 State Street Suite 201 Springfield MA 01103-2073 Ph: (413) 787-6456 | Health Svcs Homeless-dental Clinic 769 Worthington Street Hsh Dental Clinic Springfeld MA 01105-1112 Ph: (413) 731-9575 |
| NPI Number | 1407086937 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407086937 | NPI | - | NPPES |
| 1312227 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |