Upham'S Corner Health Committee, INC.
Clinic/Center, Community Health in Dorchester, Massachusetts
1780780486- Practice location
- 500 Columbia RD, Dorchester, MA 02125-2322
- Phone
- 617-287-8000
- Fax
- 617-282-8625
- Last updated
- July 12, 2017
Upham'S Corner Health Committee, INC. is a healthcare organization based in Dorchester, MA. Upham'S Corner Health Committee, INC. practices in Dorchester, MA. The NPI Number for Upham'S Corner Health Committee, INC. is 1780780486 and holds a License No. 490 (MA). The current practice location address for Upham'S Corner Health Committee, INC. is 500 Columbia RD, Dorchester, MA 02125-2322 and can be reached out via phone at 617-287-8000 and via fax at 617-282-8625.
Provider Profile Details
- NPI Number
- 1780780486
- Provider Name
- Upham'S Corner Health Committee, INC.
- Provider Entity Type
- Organization
- Address
- 500 Columbia RD, Dorchester, MA 02125-2322
- Phone Number
- 617-287-8000
- Fax Number
- 617-282-8625
- Primary Taxonomy
- Clinic/Center, Community Health · 261QC1500X
- Organization Subpart
- No
- Authorized Official
- Mr. Jagdeep Trivedi · Ceo · 617-740-8131
- Other Names
- Upham'S Corner Health Center (Doing Business As)
- Provider Enumeration Date
- September 16, 2006
- Last Update Date
- July 12, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Columbia RD
Dorchester, MA 02125-2322 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02125-2322
- Phone Number
- 617-287-8000
- Fax Number
- 617-282-8625
Provider Business Mailing Address Details
- Address
- 500 Columbia RD
Dorchester, MA 02125-2322 - City
- Dorchester
- State
- MA
- Zip
- 02125-2322
- Phone Number
- 617-287-8000
- Fax Number
- 617-282-8625
License Information
- Taxonomy (1)
- Clinic/Center, Dental · 261QD0000X
- Taxonomy (2)
- Clinic/Center, Family Planning, Non-Surgical · 261QF0050X
- License Number (3)
- 490
- License State (3)
- MA
- Taxonomy (3)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (5)
- Clinic/Center, Medical Specialty · 261QM2500X
- Taxonomy (6)
- Clinic/Center, Podiatric · 261QP1100X
- Taxonomy (7)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (8)
- Clinic/Center, Urgent Care · 261QU0200X
- Taxonomy (9)
- Clinical Medical Laboratory · 291U00000X
- Taxonomy (10)
- Dental Laboratory · 292200000X
- Taxonomy (11)
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Upham'S Corner Health Committee, INC.?
The NPI number of Upham'S Corner Health Committee, INC. is 1780780486. It was assigned on September 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Upham'S Corner Health Committee, INC.?
Upham'S Corner Health Committee, INC. is registered under the primary taxonomy Clinic/Center, Community Health (code 261QC1500X), licensed in MA under license number 490.
Where does Upham'S Corner Health Committee, INC. practice?
The practice location is 500 Columbia RD, Dorchester, MA 02125-2322. The office can be reached at 617-287-8000 (phone) or 617-282-8625 (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 1780780486 directly on the NPPES registry website.