| South Cove Community Health Center, Inc. | |
|
885 Washington St Boston MA 02111 | |
| (617) 482-7555 | |
| (617) 482-2930 |
| Full Name | South Cove Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 885 Washington St, Boston, Massachusetts |
| Authorized Official Name and Position | Eugene Welch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6175216703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Cove Community Health Center, Inc. 145 South St Boston MA 02111-2826 Ph: (617) 521-6713 | South Cove Community Health Center, Inc. 885 Washington St Boston MA 02111 Ph: (617) 482-7555 |
| NPI Number | 1700801263 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 06/13/2018 |
| Medicare PECOS PAC ID | 8325939952 |
|---|---|
| Medicare Enrollment ID | O20040323001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700801263 | NPI | - | NPPES |
| 1301586 | Medicaid | MA | |
| M11630 | Other | MA | BCBS |
| 0006779 | Other | MA | NHP |
| 705186 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4140 (Massachusetts) | Primary |
| Provider Name | Lin Yuh J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386616670 PECOS PAC ID: 5092617886 Enrollment ID: I20040122000715 |
| Provider Name | Albert S. Yeung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023008349 PECOS PAC ID: 4284622960 Enrollment ID: I20040503000642 |
| Provider Name | Lucy Chie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881709772 PECOS PAC ID: 8921071523 Enrollment ID: I20040812001286 |
| Provider Name | Minping Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417966557 PECOS PAC ID: 6608834262 Enrollment ID: I20041229000334 |
| Provider Name | Gail G Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003840836 PECOS PAC ID: 2961460522 Enrollment ID: I20041229000350 |
| Provider Name | James M Snider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750351391 PECOS PAC ID: 4880624006 Enrollment ID: I20050829000714 |
| Provider Name | Qiyue Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699733089 PECOS PAC ID: 3779501309 Enrollment ID: I20051102000910 |
| Provider Name | Paul Y Yin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245330570 PECOS PAC ID: 7012936354 Enrollment ID: I20051116000612 |
| Provider Name | Chong Kitwilliam Chan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821195736 PECOS PAC ID: 7618997289 Enrollment ID: I20051128000509 |
| Provider Name | Rong J Guan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760439921 PECOS PAC ID: 9032123138 Enrollment ID: I20060127000443 |
| Provider Name | Xiaoqi Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275567067 PECOS PAC ID: 9931110566 Enrollment ID: I20060511000100 |
| Provider Name | Maddie Y Hao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861461808 PECOS PAC ID: 5698786143 Enrollment ID: I20060511000288 |
| Provider Name | Ying Liu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386734556 PECOS PAC ID: 5395742522 Enrollment ID: I20061101000460 |
| Provider Name | Randall H Mcshine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770698664 PECOS PAC ID: 5698773133 Enrollment ID: I20061117000190 |
| Provider Name | Janet Chollet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003875659 PECOS PAC ID: 7618873415 Enrollment ID: I20071205000161 |
| Provider Name | Catherine Vuky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790823516 PECOS PAC ID: 8527157148 Enrollment ID: I20071205000304 |
| Provider Name | Yuheng Ruan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811155005 PECOS PAC ID: 5395881098 Enrollment ID: I20091012000027 |
| Provider Name | Chia Wen Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912210121 PECOS PAC ID: 9335265875 Enrollment ID: I20100922000302 |
| Provider Name | Hong Xia Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457573214 PECOS PAC ID: 8729272182 Enrollment ID: I20101029000345 |
| Provider Name | Xiangxin Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023279379 PECOS PAC ID: 6901070846 Enrollment ID: I20111110000839 |
| Provider Name | Jun Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184908675 PECOS PAC ID: 6709047848 Enrollment ID: I20120417000099 |
| Provider Name | Alison Tam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427378777 PECOS PAC ID: 7719119106 Enrollment ID: I20141010000792 |
| Provider Name | Lily Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073824835 PECOS PAC ID: 3971829144 Enrollment ID: I20150305001230 |
| Provider Name | Minsheng Yuan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275938284 PECOS PAC ID: 0840516878 Enrollment ID: I20150331001260 |
| Provider Name | Kevin K Hui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619303153 PECOS PAC ID: 0547585796 Enrollment ID: I20161101001610 |
| Provider Name | Dongxiao Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265628051 PECOS PAC ID: 8022399914 Enrollment ID: I20170109001592 |
| Provider Name | Ivy Htet Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578959292 PECOS PAC ID: 0345584298 Enrollment ID: I20181203002945 |
| Provider Name | Anita Yt Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578912309 PECOS PAC ID: 8224324090 Enrollment ID: I20201102000495 |
| Provider Name | Pin Wen Chou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013489194 PECOS PAC ID: 6709223027 Enrollment ID: I20240322000958 |
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