| South End Community Health Center Inc | |
|
1601 Washington Street Boston MA 02118 | |
| (617) 425-2000 | |
| (617) 424-8725 |
| Full Name | South End Community Health Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1601 Washington Street, Boston, Massachusetts |
| Authorized Official Name and Position | William Walczak (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6174252000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South End Community Health Center Inc 1601 Washington Street Boston MA 02118 Ph: (617) 425-2000 | South End Community Health Center Inc 1601 Washington Street Boston MA 02118 Ph: (617) 425-2000 |
| NPI Number | 1558310052 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558310052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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