Active NPIOrganization

Codman Square Health Center

Clinic/Center, Community Health in Randolph, Massachusetts

NPI Number1003770736
Practice location
42 Highland Avenue, Randolph, MA 02368-0000
Fax
617-288-7898
Last updated
December 16, 2025

Codman Square Health Center is a healthcare organization based in Randolph, MA. Codman Square Health Center practices in Randolph, MA. The NPI Number for Codman Square Health Center is 1003770736. The current practice location address for Codman Square Health Center is 42 Highland Avenue, Randolph, MA 02368-0000 and can be reached out via phone at 617-825-9660 and via fax at 617-288-7898.

Provider Profile Details

NPI Number
1003770736
Provider Name
Codman Square Health Center
Provider Entity Type
Organization
Address
42 Highland Avenue, Randolph, MA 02368-0000
Phone Number
617-825-9660
Fax Number
617-288-7898
Primary Taxonomy
Clinic/Center, Community Health · 261QC1500X
Organization Subpart
No
Authorized Official
Guy Fish · Ceo · 617-825-9660
Provider Enumeration Date
December 16, 2025
Last Update Date
December 16, 2025
Certification Date
December 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Highland Avenue
Randolph, MA 02368-0000
Zip
02368-0000
Phone Number
617-825-9660
Fax Number
617-288-7898
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
637 Washington St
Dorchester, MA 02124-3510
City
Dorchester
State
MA
Zip
02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898

License Information

Taxonomy
Clinic/Center, Community Health · 261QC1500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Codman Square Health Center?

The NPI number of Codman Square Health Center is 1003770736. It was assigned on December 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Codman Square Health Center?

Codman Square Health Center is registered under the primary taxonomy Clinic/Center, Community Health (code 261QC1500X).

Where does Codman Square Health Center practice?

The practice location is 42 Highland Avenue, Randolph, MA 02368-0000. The office can be reached at 617-825-9660 (phone) or 617-288-7898 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003770736 directly on the NPPES registry website.

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