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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CB9679 | 01 |
| Street Address |
409 W BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-2245 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on SOUTH BOSTON COMMUNITY HEALTH CENTER INC.
| 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.