Active NPIOrganization

Dimock Community Health Center

Clinic/Center, Adult Mental Health in Roxbury, Massachusetts

NPI Number1386963163
Practice location
55 Dimock St, Roxbury, MA 02119-1029
Fax
—
Last updated
July 21, 2022

Dimock Community Health Center is a healthcare organization based in Roxbury, MA. Dimock Community Health Center practices in Roxbury, MA. The NPI Number for Dimock Community Health Center is 1386963163 and holds a License No. 043487833 (MA). The current practice location address for Dimock Community Health Center is 55 Dimock St, Roxbury, MA 02119-1029 and can be reached out via phone at 617-442-8800.

Provider Profile Details

NPI Number
1386963163
Provider Name
Dimock Community Health Center
Provider Entity Type
Organization
Address
55 Dimock St, Roxbury, MA 02119-1029
Phone Number
617-442-8800
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
No
Authorized Official
Ms. Deborah Sarah Reid, LCSW · Pschiatric Triage Coordintor · 617-442-8800
Provider Enumeration Date
May 19, 2010
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Dimock St
Roxbury, MA 02119-1029
Zip
02119-1029
Phone Number
617-442-8800
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
62 Wyman Street
Jamaica Plain, MA 02130
City
Jamaica Plain
State
MA
Zip
02130
Phone Number
617-435-0999

License Information

License Number (1)
043487833
License State (1)
MA
Taxonomy (1)
Clinic/Center, Adult Mental Health · 261QM0850X
License Number (2)
1326193269
License State (2)
MA
Taxonomy (2)
Clinic/Center, Adult Mental Health · 261QM0850X
License State (3)
MA
Taxonomy (3)
Clinic/Center, Adult Mental Health · 261QM0850X · 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 Dimock Community Health Center?

The NPI number of Dimock Community Health Center is 1386963163. It was assigned on May 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Dimock Community Health Center?

Dimock Community Health Center is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X), licensed in MA under license number 043487833.

Where does Dimock Community Health Center practice?

The practice location is 55 Dimock St, Roxbury, MA 02119-1029. The office can be reached at 617-442-8800 (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 1386963163 directly on the NPPES registry website.

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