South Cove Community Health Center | |
885 Washington St Boston MA 02111-1415 | |
(617) 482-7555 | |
Not Available |
Full Name | South Cove Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 885 Washington 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 885 Washington St Boston MA 02111-1415 Ph: (617) 482-7555 |
NPI Number | 1548449077 |
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Provider Enumeration Date | 11/01/2007 |
Last Update Date | 11/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548449077 | NPI | - | NPPES |
M17997 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4140 (Massachusetts) | Primary |
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