Fenway Community Health Center, INC
Clinic/Center, Community Health in Boston, Massachusetts
1548589047- Practice location
- 75 Kneeland St, 2ND Floor, Boston, MA 02111-1901
- Phone
- 617-457-8140
- Fax
- 617-457-8141
- Last updated
- September 11, 2013
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 1548589047 and holds a License No. 4519 (MA). The current practice location address for Fenway Community Health Center, INC is 75 Kneeland St, 2ND Floor, Boston, MA 02111-1901 and can be reached out via phone at 617-457-8140 and via fax at 617-457-8141.
Provider Profile Details
- NPI Number
- 1548589047
- Provider Name
- Fenway Community Health Center, INC
- Provider Entity Type
- Organization
- Address
- 75 Kneeland St, 2ND Floor, Boston, MA 02111-1901
- Phone Number
- 617-457-8140
- Fax Number
- 617-457-8141
- Primary Taxonomy
- Clinic/Center, Community Health · 261QC1500X
- Organization Subpart
- Yes
- Parent Organization
- Fenway Community Health Center INC
- Authorized Official
- Mr. Jeffrey M Lieberman · Vp Finanace & Administration · 617-927-6173
- Other Names
- Sidney Borum Jr. Health Center Of Fenway Health (Doing Business As)
- Provider Enumeration Date
- May 24, 2010
- Last Update Date
- September 11, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Kneeland St
2ND Floor
Boston, MA 02111-1901 - City
- Boston
- State
- Massachusetts
- Zip
- 02111-1901
- Phone Number
- 617-457-8140
- Fax Number
- 617-457-8141
Provider Business Mailing Address Details
- Address
- 1340 Boylston St
Boston, MA 02215-4302 - City
- Boston
- State
- MA
- Zip
- 02215-4302
- Phone Number
- 617-927-6173
- Fax Number
- 617-927-5410
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, Community Health · 261QC1500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Community Health providers near Boston, MA
View all Clinic/Center, Community Health providers in Boston →- Fenway Community Health Center, INCClinic/Center, Community Health · NPI 1982995197
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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 1548589047. It was assigned on May 24, 2010 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, Community Health (code 261QC1500X), licensed in MA under license number 4519.
Where does Fenway Community Health Center, INC practice?
The practice location is 75 Kneeland St, 2ND Floor, Boston, MA 02111-1901. The office can be reached at 617-457-8140 (phone) or 617-457-8141 (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 1548589047 directly on the NPPES registry website.