Mattapan Community Health Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Mattapan, Massachusetts
1639240393- Practice location
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone
- 617-296-0061
- Fax
- 617-296-5408
- Last updated
- April 29, 2019
Mattapan Community Health Center INC is a healthcare organization based in Mattapan, MA. Mattapan Community Health Center INC practices in Mattapan, MA. The NPI Number for Mattapan Community Health Center INC is 1639240393. The current practice location address for Mattapan Community Health Center INC is 1575 Blue Hill Ave, Mattapan, MA 02126-2122 and can be reached out via phone at 617-296-0061 and via fax at 617-296-5408.
Provider Profile Details
- NPI Number
- 1639240393
- Provider Name
- Mattapan Community Health Center INC
- Provider Entity Type
- Organization
- Address
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone Number
- 617-296-0061
- Fax Number
- 617-296-5408
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Guale Valdez · President & Chief Executive Officer · 617-898-9090
- Other Names
- FQHC Facility (Other Name)
- Provider Enumeration Date
- November 13, 2006
- Last Update Date
- April 29, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
- Fax Number
- 617-296-5408
Provider Business Mailing Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- MA
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
- Fax Number
- 617-296-5408
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- 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 Mattapan Community Health Center INC?
The NPI number of Mattapan Community Health Center INC is 1639240393. It was assigned on November 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Mattapan Community Health Center INC?
Mattapan Community Health Center INC is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X).
Where does Mattapan Community Health Center INC practice?
The practice location is 1575 Blue Hill Ave, Mattapan, MA 02126-2122. The office can be reached at 617-296-0061 (phone) or 617-296-5408 (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 1639240393 directly on the NPPES registry website.