Manet Community Health Center, Inc. At Houghs Neck | |
1193 Sea St Quincy MA 02169-3544 | |
(617) 471-8683 | |
(617) 773-1625 |
Full Name | Manet Community Health Center, Inc. At Houghs Neck |
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Speciality | Clinic/Center |
Location | 1193 Sea St, Quincy, Massachusetts |
Authorized Official Name and Position | Cynthia Sierra (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6174044101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Manet Community Health Center, Inc. At Houghs Neck 110 W Squantum St North Quincy MA 02171-2122 Ph: (617) 376-3030 | Manet Community Health Center, Inc. At Houghs Neck 1193 Sea St Quincy MA 02169-3544 Ph: (617) 471-8683 |
NPI Number | 1376574103 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 03/03/2023 |
Medicare PECOS PAC ID | 4486555158 |
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Medicare Enrollment ID | O20060815000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376574103 | NPI | - | NPPES |
1302841 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4801 (Massachusetts) | Primary |
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