Fenway Community Health Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Boston, Massachusetts
1003804725- Practice location
- 1340 Boylston St, Boston, MA 02215-4302
- Phone
- 617-927-4880
- Fax
- —
- Last updated
- July 7, 2011
Fenway Community Health Center, INC is a healthcare organization based in Boston, MA. Fenway Community Health Center, INC practices in Boston, MA. The NPI Number for Fenway Community Health Center, INC is 1003804725 and holds a License No. 4519 (MA). The current practice location address for Fenway Community Health Center, INC is 1340 Boylston St, Boston, MA 02215-4302 and can be reached out via phone at 617-927-4880.
Provider Profile Details
- NPI Number
- 1003804725
- Provider Name
- Fenway Community Health Center, INC
- Provider Entity Type
- Organization
- Address
- 1340 Boylston St, Boston, MA 02215-4302
- Phone Number
- 617-927-4880
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Jeff Lieberman · Vp Finance & Administration · 617-927-6173
- Other Names
- Fenway Health (Doing Business As)
- Provider Enumeration Date
- October 6, 2005
- Last Update Date
- July 7, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1340 Boylston St
Boston, MA 02215-4302 - City
- Boston
- State
- Massachusetts
- Zip
- 02215-4302
- Phone Number
- 617-927-4880
Provider Business Mailing Address Details
- Address
- 1340 Boylston St
Boston, MA 02215-4302 - City
- Boston
- State
- MA
- Zip
- 02215-4302
- Phone Number
- 617-927-4880
License Information
- License Number (1)
- 4519
- License State (1)
- MA
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- License Number (2)
- 4519
- License State (2)
- MA
- Taxonomy (2)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Fenway Community Health Center, INC?
The NPI number of Fenway Community Health Center, INC is 1003804725. It was assigned on October 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Fenway Community Health Center, INC?
Fenway Community Health Center, INC is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in MA under license number 4519.
Where does Fenway Community Health Center, INC practice?
The practice location is 1340 Boylston St, Boston, MA 02215-4302. The office can be reached at 617-927-4880 (phone).
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 1003804725 directly on the NPPES registry website.