South Cove Community Health Center in Boston - Federally Qualified Health Center (fqhc)
South Cove Community Health Center - NPI 1285818088
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 1285818088. The last update date is 2007-12-28.
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 |
|---|---|
| Authorized Official Name | Tiberi Eric |
| Telephone Number | 6175216708 |
NPI Number Detail
| NPI Number | 1285818088 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | 145 South St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21112826 |
| Phone Number | 6175216708 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| 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 |
|---|---|---|---|
| W10727 | BLUE CROSS |
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What is the unique 10-digit identifier 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) 1285818088 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the South Cove Community Health Center located?
The South Cove Community Health Center is located at 145 South St, Boston, MA 21112826.
What is South Cove Community Health Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Cove Community Health Center is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285818088 to South Cove Community Health Center?
The South Cove Community Health Center received its 1285818088 assignment from the Centers for Medicare & Medicaid Services on 2007-12-28.
When was the information regarding South Cove Community Health Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Cove Community Health Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-28.