East Boston Neighborhood Health Center in East Boston - Mental Health (including Community Mental Health Center)

East Boston Neighborhood Health Center - NPI 1174701213

East Boston Neighborhood Health Center is a Mental Health (including Community Mental Health Center) in East Boston, Massachusetts. East Boston Neighborhood Health Center practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for East Boston Neighborhood Health Center is 1174701213. The last update date is 2020-12-09.

East Boston Neighborhood Health Center's current location address is 10 Gove St, East Boston, Massachusetts. You can contact this provider via phone number 6175695800 and fax number 6175684756. The mailing address for East Boston Neighborhood Health Center is 10 Gove St, East Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Boston Neighborhood Health Center
Address 10 Gove St, East Boston, Massachusetts
Phone Number 6175695800
Fax Number 6175684756
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF MEDI
Authorized Official Name Fantes S Jackie
Credentials MD
Telephone Number 6175684570

NPI Number Detail

NPI Number 1174701213
Provider Enumeration Date 2008-01-31
Last Updated Date 2020-12-09

Provider Mailing Address Detail

Address 10 Gove St
City East Boston
State Massachusetts (MA)
Post Code 21281920
Phone Number 6175695800
Fax Number 6175684756

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M19050 BLUE CROSS BLUE SHIELD

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FAQs about East Boston Neighborhood Health Center

What is the unique identifier code issued to East Boston Neighborhood Health Center by the Centers for Medicare & Medicaid Services (CMS)?

The East Boston Neighborhood Health Center has been assigned the NPI (National Provider Identifier) 1174701213. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where East Boston Neighborhood Health Center's facilities are geographically located?

The facilities of East Boston Neighborhood Health Center are physically situated at the following location: 10 Gove St, East Boston, MA, 21281920.

What is the East Boston Neighborhood Health Center's specialty and taxonomy code?

The East Boston Neighborhood Health Center's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174701213 to East Boston Neighborhood Health Center?

The Centers for Medicare & Medicaid Services originally issued the 1174701213 to East Boston Neighborhood Health Center on 2008-01-31.

When was the information pertaining to East Boston Neighborhood Health Center most recently updated or revised?

The details related to East Boston Neighborhood Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-09.

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