MANET COMMUNITY HEALTH CENTER, INC. (NPI# 1376574103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376574103 |
| Entity Type | Organization |
| Organization Name | MANET COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | MANET COMMUNITY HEALTH CENTER, INC. AT HOUGHS NECK |
| Practice Address |
1193 Sea St Quincy MA 02169-3544 |
| Mailing Address |
110 W Squantum St North Quincy MA 02171-2122 |
| Practice Telephone | 6174718683 |
| Practice Fax Number | 6177731625 |
| Mailing Telephone | 6173763030 |
| Mailing Fax Number | 6177741906 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTONIA G. MCGUIRE (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Telephone | 6173763030 |
| Authorized Official Credential | R.N., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4801 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1302841 | 05 |
| Other Name | Type Code |
|---|---|
| Manet Community Health Center, Inc. at Houghs Neck | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787340 | Manet Community Health Center, Inc. | Clinic/Center | 110 W Squantum St Ste 8, Quincy, MA 02171-2158 | 2018-04-10 |
| 1114027539 | Manet Community Health Center, Inc. | Clinic/Center | 110 W Squantum St, North Quincy, MA 02171-2122 | 2006-09-25 |
| 1467483297 | Manet Community Health Center, Inc. | Clinic/Center | 110 W Squantum St, North Quincy, MA 02171-2122 | 2006-07-06 |
| 1285665018 | Manet Community Health Center, Inc. | Clinic/Center | 180 George Washington Blvd, Hull, MA 02045-3069 | 2006-07-06 |
| 1093746828 | Manet Community Health Center, Inc. | Clinic/Center | 114 Whitwell St, 2nd Floor, Quincy, MA 02169-1870 | 2006-07-06 |
| 1891731956 | Manet Community Health Center, Inc. | Clinic/Center | 9 Bicknell St, Quincy, MA 02169-6003 | 2006-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MANET COMMUNITY HEALTH CENTER, INCORPORATED | 110 W Squantum St Ste 24, Quincy, MA 02171-2122 |
| Street Address |
1193 SEA ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609817964 | David Wayne Brumley | Family Medicine | 1193 Sea St, Quincy, MA 02169-3544 | 2006-06-09 |
| 1053457499 | Deborah M Cerone | Nurse Practitioner | 1193 Sea St, Manet Community Health Center Inc, Quincy, MA 02045-3069 | 2007-01-30 |
| 1558407890 | Cynthia Roche Cotter | Nurse Practitioner | 1193 Sea St, Manet Community Health Center Inc, Quincy, MA 02045-3069 | 2007-01-30 |
| 1578628566 | Jacalyn Newman | Nutritionist | 1193 Sea St, Manet Community Health Center, Quincy, MA 02169 | 2006-12-27 |
| 1912081415 | Jane L Maffie Lee | Nurse Practitioner | 1193 Sea St, Manet Community Health Center, Quincy, MA 02045-3069 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1083121537 | Board of Trustees of Southern Illinois University | Clinic/Center | 330 Vermont St Ste 100, Quincy, IL 62301-2700 | 2018-01-05 |
| 1922515451 | Board of Trustees of Southern Illinois University | Clinic/Center | 330 Vermont St Ste 211, Quincy, IL 62301-2700 | 2018-01-05 |
| 1275012353 | Quincy Community Health Center | Clinic/Center | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2018-08-09 |
| 1376921924 | Board of Trustees of Southern Illinois University | Clinic/Center | 612 N 11th St, Quincy, IL 62301-2662 | 2015-05-15 |
| 1336382944 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 38 Broad St, Quincy, MA 02169 | 2009-04-13 |
| 1528214756 | Moses Lake Community Health Center | Clinic/Center | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2008-08-07 |
| 1093746828 | Manet Community Health Center, Inc. | Clinic/Center | 114 Whitwell St, 2nd Floor, Quincy, MA 02169-1870 | 2006-07-06 |
| 1891731956 | Manet Community Health Center, Inc. | Clinic/Center | 9 Bicknell St, Quincy, MA 02169-6003 | 2006-06-20 |
| Find all providers in QUINCY | ||||
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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.