South Boston Community Health Center Inc in South Boston - Community Health
South Boston Community Health Center Inc - NPI 1669447413
South Boston Community Health Center Inc is a Community Health in South Boston, Massachusetts. South Boston Community Health Center Inc practices all healthcare services and medical treatments related to Community Health. The NPI Number for South Boston Community Health Center Inc is 1669447413. The last update date is 2020-01-27.
South Boston Community Health Center Inc's current location address is 409 W Broadway, South Boston, Massachusetts. You can contact this provider via phone number 6172697500 and fax number 6174647512. The mailing address for South Boston Community Health Center Inc 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 Inc |
|---|---|
| Address | 409 W Broadway, South Boston, Massachusetts |
| Phone Number | 6172697500 |
| Fax Number | 6174647512 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Ogungbadero Akinola |
| Telephone Number | 6172697500 |
NPI Number Detail
| NPI Number | 1669447413 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2020-01-27 |
Provider Mailing Address Detail
| Address | 409 W Broadway |
|---|---|
| City | South Boston |
| State | Massachusetts (MA) |
| Post Code | 21272245 |
| Phone Number | 6172697500 |
| Fax Number | 6174647512 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
|
Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB9679 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the South Boston Community Health Center Inc's 1669447413?
The South Boston Community Health Center Inc's NPI (National Provider Identifier) Number is 1669447413. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where South Boston Community Health Center Inc's facilities are geographically located?
The facilities of South Boston Community Health Center Inc are physically situated at the following location: 409 W Broadway, South Boston, MA, 21272245.
What is South Boston Community Health Center Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Boston Community Health Center Inc is Community Health, and the corresponding taxonomy classification code for this specialized field is 261Qc1500X.
On what date did the South Boston Community Health Center Inc receive its 1669447413 assignment from the Centers for Medicare & Medicaid Services?
The South Boston Community Health Center Inc was assigned its 1669447413 by the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information regarding South Boston Community Health Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Boston Community Health Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY