South Boston Community Health Center in South Boston - Clinic/center
South Boston Community Health Center - NPI 1366626624
South Boston Community Health Center is a Clinic/center in South Boston, Massachusetts. South Boston Community Health Center practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for South Boston Community Health Center is 1366626624. The last update date is 2007-12-21.
South Boston Community Health Center's current location address is 409 W Broadway, South Boston, Massachusetts. You can contact this provider via phone number 6172697500 and fax number 6174647581. The mailing address for South Boston Community Health Center is 409 W Broadway, South Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South Boston Community Health Center |
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Address | 409 W Broadway, South Boston, Massachusetts |
Phone Number | 6172697500 |
Fax Number | 6174647581 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CFO |
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Authorized Official Name | Ogungbadero Akinola |
Telephone Number | 6172697500 |
NPI Number Detail
NPI Number | 1366626624 |
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Provider Enumeration Date | 2007-12-21 |
Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
Address | 409 W Broadway |
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City | South Boston |
State | Massachusetts (MA) |
Post Code | 21272245 |
Phone Number | 6172697500 |
Fax Number | 6174647581 |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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Taxonomy | 261Q00000X |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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X10787 | MA | BLUE CROSS DENTAL |
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What is the unique 10-digit identifier code issued to South Boston Community Health Center by the Centers for Medicare & Medicaid Services?
The South Boston Community Health Center has been assigned the NPI (National Provider Identifier) 1366626624 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of South Boston Community Health Center?
The South Boston Community Health Center is physically situated at 409 W Broadway, in the city of South Boston, state of MA, with the postal code 21272245.
What is South Boston Community Health Center's area of expertise and its corresponding taxonomy classification?
The South Boston Community Health Center's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the South Boston Community Health Center receive its 1366626624 assignment from the Centers for Medicare & Medicaid Services?
The South Boston Community Health Center was assigned its 1366626624 by the Centers for Medicare & Medicaid Services on 2007-12-21.
As of what date were the details pertaining to South Boston Community Health Center last refreshed?
The information related to the South Boston Community Health Center, including its address, specialty, and other relevant details, was last updated on 2007-12-21.
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