BETH ISRAEL DEACONESS MEDICAL CENETR (NPI# 1790804623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790804623 |
| Entity Type | Organization |
| Organization Name | BETH ISRAEL DEACONESS MEDICAL CENETR |
| Other Organization Name | BOWDOIN STREET HEALTH CENTER |
| Practice Address |
230 Bowdoin St Dorchester MA 02122-1817 |
| Mailing Address |
55 Manor St Dorchester MA 02122-2468 |
| Practice Telephone | 6177540100 |
| Practice Fax Number | 6177540230 |
| Mailing Telephone | 6174367491 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS ADELA MARGULES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6177540100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
191735 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bowdoin Street Health Center | Doing Business As Name - Organization |
| Street Address |
230 BOWDOIN ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588652150 | Joseph A Ingelfinger | Internal Medicine | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2005-10-07 |
| 1548881568 | Joanna Stevens | Registered Nurse | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2020-04-30 |
| 1356975981 | Cristy Lynn Galvin | Nurse Practitioner | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2020-02-21 |
| 1780242156 | Martha Veroneau | Registered Nurse | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2019-05-31 |
| 1770033078 | Simone Martell | Social Worker | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2016-10-11 |
| 1760887012 | Justin Kasarsky | Social Worker | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2014-10-29 |
| 1669880647 | Jessica Hart Burch | Nutritionist | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2014-07-23 |
| 1194006726 | Taylor Julia Ricketson | Nurse Practitioner | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2011-09-09 |
| 1093096075 | Katherine Thuy Tien Le | Dietitian, Registered | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2011-09-02 |
| 1710121751 | Jane Ellen Driscoll | Registered Nurse | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2009-04-21 |
| 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 |
| 1780874677 | Boston Medical Center Corporation | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2007-07-27 |
| 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 |
| 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 | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on BETH ISRAEL DEACONESS MEDICAL CENETR.
| 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.