institution
South Cove Community Health Center
Federally Qualified Health Center (FQHC) in Boston, Massachusetts
NPI 1285818088

South Cove Community Health Center is a Federally Qualified Health Center (FQHC) based in Boston, MA and is specialized in Federally Qualified Health Center (FQHC). South Cove Community Health Center practices in Boston, MA. The NPI Number for South Cove Community Health Center is 1285818088 and holds a License No. 4140 (Massachusetts).

The current practice location address for South Cove Community Health Center is 145 South St, Boston, MA and can be reached out via phone at 617-521-6708.

Location: 145 South St, Boston, MA, 02111-2826
institution
Provider Profile Details
NPI Number
1285818088
Provider Name
South Cove Community Health Center
Credential
Provider Entity Type
Organization
Address
145 South St, Boston, MA, 02111-2826
Phone Number
617-521-6708
Fax Number
Provider Enumeration Date
12/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W10727 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
145 South St
City
State
Zip
02111-2826
Phone Number
617-521-6708
Fax Number
person
Provider Business Mailing Address Details
Address
145 South St
City
State
Zip
02111-2826
Phone Number
617-521-6708
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
4140 (Massachusetts)
Definition
Definition to come...
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