SPRINGFIELD DEPT OF HEALTH & HUMAN SERVICES


Address: 769 Worthington Street, Hsh Dental Clinic, Springfeld, MA 01105-1112
Phone: 4137319575

SPRINGFIELD DEPT OF HEALTH & HUMAN SERVICES (NPI# 1407086937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407086937
Entity Type Organization
Organization Name SPRINGFIELD DEPT OF HEALTH & HUMAN SERVICES
Other Organization Name HEALTH SVCS HOMELESS-DENTAL CLINIC
Practice Address 769 Worthington Street
Hsh Dental Clinic
Springfeld
MA 01105-1112
Mailing Address 95 State Street
Suite 201
Springfield
MA 01103-2073
Practice Telephone 4137319575
Practice Fax Number 4137319575
Mailing Telephone 4137876456
Mailing Fax Number 4137876458
Enumeration Date 2009-07-17
Last Update Date 2009-07-17
Authorized Official Name HELEN R CAULTON-HARRIS (DIRECTOR)
Authorized Official Telephone 4137876456
Is Organization Subpart Y
Parent Organization Name CITY OF SPRINGFIELD, MA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA 1312227 05

Other Provider/Organization Names

Other Name Type Code
Health Svcs Homeless-Dental Clinic Doing Business As Name - Organization

Office Location

Street Address 769 WORTHINGTON STREET
HSH DENTAL CLINIC
City SPRINGFELD
State MA
Zip Code 01105-1112

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1417376419 Wanda I Perez Student in an Organized Health Care Education/Training Program 367 Pine Street, Springfield, MA 01105 2014-04-08
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1992001457 Mashpee Service Unit/indian Health Service Clinic/Center 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 2011-02-01
1619143500 Lowell General Hospital Clinic/Center 295 Varnum Ave Rm 75, Lowell, MA 01854-2134 2008-05-01
1891816930 Sunrise-amanecer Inc. Clinic/Center 19 Milford St, Springfield, MA 01107-1332 2007-04-03
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1932266533 Roxbury Comprehensive Community Health Center, Inc. Clinic/Center 435 Warren St, Roxbury, MA 02119-1833 2007-01-02
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Competitor

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City SPRINGFELD
Zip Code 01105

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Dataset Information

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.

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