| South Cove Community Health Center | |
|
145 South St Boston MA 02111-2826 | |
| (617) 521-6708 | |
| Not Available |
| Full Name | South Cove Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 145 South St, Boston, Massachusetts |
| Authorized Official Name and Position | Eric Tiberi (COO) |
| Authorized Official Contact | 6175216708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Cove Community Health Center 145 South St Boston MA 02111-2826 Ph: (617) 521-6708 | South Cove Community Health Center 145 South St Boston MA 02111-2826 Ph: (617) 521-6708 |
| NPI Number | 1285818088 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285818088 | NPI | - | NPPES |
| W10727 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4140 (Massachusetts) | Primary |
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