| 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 | Clinic/center |
| Location | 409 W Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Akinola Ogungbadero (CFO) |
| Authorized Official Contact | 6172697500 |
| 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 | 1366626624 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366626624 | NPI | - | NPPES |
| X10787 | Other | MA | BLUE CROSS DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Massachusetts) | Primary |
Weintraub Geriatric Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 E 7th St, South Boston, MA 02127 Phone: 617-268-8968 | |
South Boston Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 W Broadway, South Boston, MA 02127 Phone: 617-269-7500 Fax: 617-464-7581 | |
South Boston Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 W Broadway, South Boston, MA 02127 Phone: 617-269-7500 | |
Harbor Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Devine Way, Harbor Family Health Center, South Boston, MA 02127 Phone: 617-269-0312 | |
Gavin Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 L St, South Boston, MA 02127 Phone: 617-268-5000 Fax: 617-268-5008 | |
South Boston Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 W Broadway, South Boston, MA 02127 Phone: 617-269-7500 Fax: 617-464-7512 |