Fenway Community Health Center, Inc in Boston - Federally Qualified Health Center (fqhc)
Fenway Community Health Center, Inc - NPI 1003804725
Fenway Community Health Center, Inc is a Federally Qualified Health Center (fqhc) in Boston, Massachusetts. Fenway Community Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Fenway Community Health Center, Inc is 1003804725. The last update date is 2011-07-07.
Fenway Community Health Center, Inc's current location address is 1340 Boylston St, Boston, Massachusetts. You can contact this provider via phone number 6179274880. The mailing address for Fenway Community Health Center, Inc is 1340 Boylston St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fenway Community Health Center, Inc |
|---|---|
| Address | 1340 Boylston St, Boston, Massachusetts |
| Phone Number | 6179274880 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP FINANCE |
|---|---|
| Authorized Official Name | Lieberman Jeff |
| Telephone Number | 6179276173 |
NPI Number Detail
| NPI Number | 1003804725 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2011-07-07 |
Provider Mailing Address Detail
| Address | 1340 Boylston St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22154302 |
| Phone Number | 6179274880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 4519 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1303546 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Fenway Community Health Center, Inc by the Centers for Medicare & Medicaid Services?
The Fenway Community Health Center, Inc has been assigned the NPI (National Provider Identifier) 1003804725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Fenway Community Health Center, Inc?
The Fenway Community Health Center, Inc is physically situated at 1340 Boylston St, in the city of Boston, state of MA, with the postal code 22154302.
What is Fenway 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 Fenway Community Health Center, Inc is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003804725 to Fenway Community Health Center, Inc?
The Fenway Community Health Center, Inc received its 1003804725 assignment from the Centers for Medicare & Medicaid Services on 2005-10-06.
As of what date were the Fenway Community Health Center, Inc's details last updated?
The information pertaining to the Fenway Community Health Center, Inc, including its address, specialty, and other details, was most recently updated on 2011-07-07.