BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. (NPI# 1245473859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245473859 |
| Entity Type | Organization |
| Organization Name | BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. |
| Other Organization Name | MASSACHUSETTS GENERAL HOSPITAL CLINIC |
| Practice Address |
55 Fruit St Wacc 108 Boston MA 02114 |
| Mailing Address |
780 Albany St Boston MA 02118-2755 |
| Practice Telephone | 6177262707 |
| Practice Fax Number | 6177240189 |
| Mailing Telephone | 8576541227 |
| Mailing Fax Number | 8576541404 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | AGNES W LEUNG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8576541200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4LQX | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Massachusetts General Hospital Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
| 1780827394 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 112 Southampton St, Boston, MA 02118 | 2009-04-13 |
| 1871736488 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 39 Boylston St Fl 2, Boston, MA 02116 | 2009-04-13 |
| 1205080355 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 363 Albany St, Boston, MA 02118-2503 | 2008-11-14 |
| 1174012926 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 780 Albany St, Boston, MA 02118-2755 | 2018-05-08 |
| 1336382944 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 38 Broad St, Quincy, MA 02169 | 2009-04-13 |
| 1962645572 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 170 Morton St, Jamaica Plain, MA 02130 | 2009-04-13 |
| 1063655678 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 17 Court St, Boston, MA 02108 | 2009-04-13 |
| 1205080348 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 444 Harrison Ave, Boston, MA 02118 | 2008-11-14 |
| 1801013347 | Boston Health Care for The Homeless Program, Inc. | Pharmacy | 780 Albany St, Boston, MA 02118 | 2007-04-19 |
| Street Address |
55 FRUIT ST WACC 108 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
| 1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
| 1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
| 1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
| 1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
| 1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120244 | Cumberland Family Medical Center, Inc. | Clinic/Center | 130 Wilson Creek Rd, Boston, KY 40107-8554 | 2018-07-13 |
| 1780827394 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 112 Southampton St, Boston, MA 02118 | 2009-04-13 |
| 1871736488 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 39 Boylston St Fl 2, Boston, MA 02116 | 2009-04-13 |
| 1205080355 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 363 Albany St, Boston, MA 02118-2503 | 2008-11-14 |
| 1558310052 | South End Community Health Center Inc | Clinic/Center | 1601 Washington Street, Boston, MA 02118 | 2006-05-10 |
| 1174012926 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 780 Albany St, Boston, MA 02118-2755 | 2018-05-08 |
| 1073744611 | Fenway Community Health Center, Inc | Clinic/Center | 1340 Boylston St, 6th Floor, Boston, MA 02215-4302 | 2009-07-30 |
| 1124259056 | Fenway Health | Clinic/Center | 1340 Boylston St, Boston, MA 02215-4302 | 2009-07-27 |
| 1063655678 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 17 Court St, Boston, MA 02108 | 2009-04-13 |
| 1205080348 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 444 Harrison Ave, Boston, MA 02118 | 2008-11-14 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.