| Southampton Street Shelter | |
|
112 Southampton St Boston MA 02118 | |
| (617) 534-2881 | |
| Not Available |
| Full Name | Southampton Street Shelter |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Southampton St, Boston, Massachusetts |
| Authorized Official Name and Position | Agnes W Leung (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8576541200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southampton Street Shelter 780 Albany St Boston MA 02118-2755 Ph: (857) 654-1227 | Southampton Street Shelter 112 Southampton St Boston MA 02118 Ph: (617) 534-2881 |
| NPI Number | 1780827394 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 05/23/2018 |
| Medicare PECOS PAC ID | 2668475419 |
|---|---|
| Medicare Enrollment ID | O20080718000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780827394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4LQX (Massachusetts) | Primary |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |