South Cove Community Health Center in Boston - Federally Qualified Health Center (fqhc)
South Cove Community Health Center - NPI 1548449077
South Cove Community Health Center is a Federally Qualified Health Center (fqhc) in Boston, Massachusetts. South Cove Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for South Cove Community Health Center is 1548449077. The last update date is 2007-11-01.
South Cove Community Health Center's current location address is 145 South St, Boston, Massachusetts. You can contact this provider via phone number 6175216708. The mailing address for South Cove Community Health Center is 145 South St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South Cove Community Health Center |
---|---|
Address | 145 South St, Boston, Massachusetts |
Phone Number | 6175216708 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | COO |
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Authorized Official Name | Tiberi Eric |
Telephone Number | 6175216708 |
NPI Number Detail
NPI Number | 1548449077 |
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Provider Enumeration Date | 2007-11-01 |
Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
Address | 145 South St |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21112826 |
Phone Number | 6175216708 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Licence No | 4140 |
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 |
---|---|---|---|
M17997 | BLUE CROSS |
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What is the unique 10-digit identification code issued to South Cove Community Health Center by the Centers for Medicare & Medicaid Services?
The South Cove Community Health Center has been assigned the NPI (National Provider Identifier) 1548449077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where South Cove Community Health Center is physically located?
The South Cove Community Health Center is situated at the following address: 145 South St, Boston, MA 21112826.
What is the South Cove Community Health Center's specialty and taxonomy code?
The South Cove Community Health Center's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did South Cove Community Health Center receive its 1548449077 assignment from the Centers for Medicare & Medicaid Services?
The South Cove Community Health Center was assigned its 1548449077 on 2007-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to South Cove Community Health Center most recently updated or refreshed?
The details pertaining to the South Cove Community Health Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-01.
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