SOUTH BOSTON COMMUNITY HEALTH CENTER INC


Address: 409 W Broadway, South Boston, MA 02127-2245
Phone: 6172697500

SOUTH BOSTON COMMUNITY HEALTH CENTER INC (NPI# 1669447413) 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) 1669447413
Entity Type Organization
Organization Name SOUTH BOSTON COMMUNITY HEALTH CENTER INC
Practice Address 409 W Broadway
South Boston
MA 02127-2245
Practice Telephone 6172697500
Practice Fax Number 6174647512
Mailing Telephone 6172697500
Mailing Fax Number 6174647512
Enumeration Date 2006-02-22
Last Update Date 2020-01-27
Authorized Official Name MR. AKINOLA OGUNGBADERO (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6172697500
Is Organization Subpart N

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
RAILROAD MEDICARE CB9679 01

Office Location

Street Address 409 W BROADWAY
City SOUTH BOSTON
State MA
Zip Code 02127-2245

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023081841 Pamela Cattel Internal Medicine 409 W Broadway, South Boston, MA 02127-2245 2006-02-10
1215411749 Kelly Anne Maloy Nurse Practitioner 409 W Broadway, South Boston, MA 02127-2245 2018-09-20
1437633401 Veronica Lynn Hecht Nurse Practitioner 409 W Broadway, South Boston, MA 02127-2245 2018-09-17
1295221315 South Boston Community Health Center Clinic/Center 409 W Broadway, South Boston, MA 02127-2245 2018-07-02
1427581727 Jonathan Foster Dentist 409 W Broadway, South Boston, MA 02127-2245 2017-04-04
1306377049 Isabella Buzzo Bellon Brout Family Medicine 409 W Broadway, South Boston, MA 02127-2245 2017-03-24
1548706187 Mary Mcpherson Social Worker 409 W Broadway, South Boston, MA 02127-2245 2017-01-06
1902269202 Katrina Jeanette Ciraldo Family Medicine 409 W Broadway, South Boston, MA 02127-2245 2016-04-04
1518373752 Elizabeth Temple Corridan Nurse Practitioner 409 W Broadway, South Boston, MA 02127-2245 2014-07-09
1861837254 Quest Diagnostics Massachusetts LLC Clinical Medical Laboratory 409 W Broadway, South Boston, MA 02127-2245 2013-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598370629 Peaceful Healing Soul Counseling Center, LLC Counselor Online Therapy, Boston, MA 02127 2020-09-15
1568964914 Phuong Luu Nurse Practitioner 606 E Fourth St, Unit 204, Boston, MA 02127 2018-03-01
1700304367 Kelsey L Donovan Physician Assistant 431 E 3rd Street Apt 2, Boston, MA 02127 2017-09-05
1255873733 Janet Villafane Social Worker 23 Mcdonough Way, 691, Boston, MA 02127 2016-11-15
1083088470 Katie Ryan Counselor 8 Rev Burke Street #151, South Boston, MA 02127 2015-11-23
1184005514 Keith A Lombard Counselor 1226a Columbia Rd., South Boston, MA 02127 2015-06-11
1609213917 Nicole Ashley Vandermay Student in an Organized Health Care Education/Training Program 9 Woodward St, Apt. 3, Boston, MA 02127 2013-05-28
1922359777 Elizabeth Raggi Counselor 49 L Street, South Boston, MA 02127 2012-09-19
1205181021 Massachusetts General Hospital General Acute Care Hospital 256 West Sixth Street Apt 2, South Boston, MA 02127 2012-07-18
1154602126 Madeline F Brisotti Counselor 8 Reverend Burke Steet, South Boston, MA 02127 2011-09-06
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346200136 Harbor Health Services Inc Clinic/Center 32 Devine Way, Harbor Family Health Center, South Boston, MA 02127-3534 2006-03-24
1295221315 South Boston Community Health Center Clinic/Center 409 W Broadway, South Boston, MA 02127-2245 2018-07-02
1225228679 Boston Medical Center Corporation Clinic/Center 409 W Broadway, South Boston, MA 02127-2245 2007-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083171805 Community Health Center of Cape Cod, Inc. Clinic/Center 115 Scranton Ave, Falmouth, MA 02540-3560 2019-02-28
1811490790 Trustees of Tufts College Clinic/Center 200 Harrison Ave Fl 2, Boston, MA 02111 2018-03-16
1073993937 Greater New Bedford Community Health Center, Inc. Clinic/Center 135 Marion Rd, Wareham, MA 02571-1423 2015-06-05
1619369022 Melissa Quast Clinic/Center 151 Run Hill Rd, Brewster, MA 02631-2374 2015-02-22
1992001457 Mashpee Service Unit/indian Health Service Clinic/Center 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 2011-02-01
1407086937 Springfield Dept of Health & Human Services Clinic/Center 769 Worthington Street, Hsh Dental Clinic, Springfeld, MA 01105-1112 2009-07-17
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
1033257522 Lemuel Shattuck Hosp Clinic/Center 9 Brewer St, Jamaica Plain, MA 02130-4032 2007-02-05
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 SOUTH BOSTON
Zip Code 02127

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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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