| The Dimock Center | |
|
55 Dimock St Credentialing Office Roxbury MA 02119-1029 | |
| (617) 442-8800 | |
| (617) 427-2784 |
| Full Name | The Dimock Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 55 Dimock St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Kerlley Aime' (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6174428800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dimock Center 55 Dimock St Credentialing Office Roxbury MA 02119-1029 Ph: (617) 442-8800 | The Dimock Center 55 Dimock St Credentialing Office Roxbury MA 02119-1029 Ph: (617) 442-8800 |
| NPI Number | 1336563188 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336563188 | NPI | - | NPPES |
| M21066 | Other | MA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Dimock Comunity Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Columbus Ave, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-442-6762 | |
The Dimock Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-442-4088 | |
Bhchp Family Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1785 Columbus Ave, Roxbury, MA 02119 Phone: 857-654-1227 | |
Dr. Bernard Scott Psychotherapy Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Highland St, Suite 1, Roxbury, MA 02119 Phone: 617-543-0655 Fax: 617-442-5895 | |
Roxbury Comprehensive Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Warren St, Roxbury, MA 02119 Phone: 617-442-7400 |