BOSTON MEDICAL CENTER CORPORATION (NPI# 1780874677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780874677 |
Entity Type | Organization |
Organization Name | BOSTON MEDICAL CENTER CORPORATION |
Other Organization Name | DORCHESTER HOUSE MULTI SERVICE CENTER |
Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
Mailing Address |
88 E Newton St Perkin Elmer Building, Room 11 Attn: Virginia Mui Boston MA 02118-2308 |
Practice Telephone | 6177402200 |
Practice Fax Number | 6178254972 |
Mailing Telephone | 6174141609 |
Mailing Fax Number | 6176387545 |
Enumeration Date | 2007-07-27 |
Last Update Date | 2013-09-24 |
Authorized Official Name | MR. WALTER J RAMOS (PRESIDENT & CEO) |
Authorized Official Telephone | 6177402200 |
Is Organization Subpart | Y |
Parent Organization Name | BOSTON MEDICAL CENTER CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
V112 | MA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dorchester House Multi Service Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457454605 | Boston Medical Center Corporation | Clinic/Center | 229 River St, Mattapan, MA 02126-2784 | 2006-09-06 |
1740899244 | Boston Medical Center Corporation | Pharmacy | 41 Teed Dr, Randolph, MA 02368-4201 | 2020-07-30 |
1942819164 | Boston Medical Center Corporation | Pharmacy | 41 Teed Dr, Randolph, MA 02368-4201 | 2020-07-23 |
1750904298 | Boston Medical Center Corporation | Pharmacy | 780 Albany St, Boston, MA 02118-2755 | 2020-05-19 |
1205473162 | Boston Medical Center Corporation | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-10 |
1083141659 | Boston Medical Center Corporation | Pharmacy | 41 Teed Dr, Randolph, MA 02368-4201 | 2017-05-15 |
1417290131 | Boston Medical Center Corporation | Pharmacy | 725 Albany Street, Boston, MA 02118-2526 | 2013-04-01 |
1083952329 | Boston Medical Center Corporation | Pharmacy | 725 Albany Street, Boston, MA 02118-2526 | 2013-01-22 |
1861683518 | Boston Medical Center Corporation | Clinic/Center | 10 Gove St, East Boston, MA 02128-1920 | 2007-08-07 |
1225228679 | Boston Medical Center Corporation | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2007-07-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | BOSTON MEDICAL CENTER CORPORATION | One Boston Medical Center Pl, Boston, MA 02118 |
New York State Corporations | BOSTON MEDICAL CENTER CORPORATION | Boston Medical Center, One Boston Medical Ctr Place, Boston, Massachusetts 02118 |
Washington State Corporations | BOSTON MEDICAL CENTER CORPORATION | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
Vermont Business Registrations | BOSTON MEDICAL CENTER CORPORATION | One Boston Medical Center Place, Boston, MA 02118 |
Street Address |
1353 DORCHESTER AVE |
City | DORCHESTER |
State | MA |
Zip Code | 02122-2932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750340410 | Holly L Goodale | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-21 |
1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
Find all providers in zip 02122 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881692366 | Harbor Health Services, Inc. | Clinic/Center | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-07-08 |
1790804623 | Beth Israel Deaconess Medical Cenetr | Clinic/Center | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2007-03-29 |
1093867863 | Bowdoin Street Health Ceneter | Clinic/Center | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2007-01-18 |
1659330496 | Harbor Health Services Inc | Clinic/Center | 250 Mount Vernon St, Dorchester, MA 02125 | 2006-03-21 |
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---|---|---|---|---|
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 | DORCHESTER |
Zip Code | 02122 |
Please comment or provide details below to improve the information on BOSTON MEDICAL CENTER CORPORATION.
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.