South Cove Community Health Center, Inc. in Boston - Federally Qualified Health Center (fqhc)

South Cove Community Health Center, Inc. - NPI 1700801263

South Cove Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Boston, Massachusetts. South Cove Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for South Cove Community Health Center, Inc. is 1700801263. The last update date is 2018-06-13.

South Cove Community Health Center, Inc.'s current location address is 145 South St, Boston, Massachusetts. You can contact this provider via phone number 6175216713 and fax number 6175216799. The mailing address for South Cove Community Health Center, Inc. is 145 South St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Cove Community Health Center, Inc.
Address 145 South St, Boston, Massachusetts
Phone Number 6175216713
Fax Number 6175216799
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Welch Eugene
Telephone Number 6175216703

NPI Number Detail

NPI Number 1700801263
Provider Enumeration Date 2006-07-13
Last Updated Date 2018-06-13

Provider Mailing Address Detail

Address 145 South St
City Boston
State Massachusetts (MA)
Post Code 21112826
Phone Number 6175216713
Fax Number 6175216799

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
1301586 MA --
M11630 MA BCBS
6779 MA NHP
705186 MA TUFTS

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FAQs about South Cove Community Health Center, Inc.

What is the unique provider identifier assigned to South Cove Community Health Center, Inc.?

The South Cove Community Health Center, Inc. has been issued the NPI (National Provider Identifier) 1700801263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of South Cove Community Health Center, Inc.?

The South Cove Community Health Center, Inc. is physically situated at 145 South St, in the city of Boston, state of MA, with the postal code 21112826.

What is South Cove Community Health Center, Inc.'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, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

When was the South Cove Community Health Center, Inc.'s 1700801263 issued?

The South Cove Community Health Center, Inc.'s 1700801263 was issued on 2006-07-13.

When was the South Cove Community Health Center, Inc.'s information last updated?

The South Cove Community Health Center, Inc.'s information was last updated on 2018-06-13.

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