Boston Health Care For The Homeless Program, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Jamaica Plain, Massachusetts
1962645572- Practice location
- 170 Morton St, Jamaica Plain, MA 02130
- Phone
- 617-983-0351
- Fax
- 617-971-3121
- Last updated
- May 23, 2018
Boston Health Care For The Homeless Program, INC. is a healthcare organization based in Jamaica Plain, MA. Boston Health Care For The Homeless Program, INC. practices in Jamaica Plain, MA. The NPI Number for Boston Health Care For The Homeless Program, INC. is 1962645572 and holds a License No. 4LQX (MA). The current practice location address for Boston Health Care For The Homeless Program, INC. is 170 Morton St, Jamaica Plain, MA 02130 and can be reached out via phone at 617-983-0351 and via fax at 617-971-3121.
Provider Profile Details
- NPI Number
- 1962645572
- Provider Name
- Boston Health Care For The Homeless Program, INC.
- Provider Entity Type
- Organization
- Address
- 170 Morton St, Jamaica Plain, MA 02130
- Phone Number
- 617-983-0351
- Fax Number
- 617-971-3121
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Agnes W Leung · Chief Financial Officer · 857-654-1200
- Other Names
- Pine Street Inn At Shattuck (Other Name)
- Provider Enumeration Date
- April 13, 2009
- Last Update Date
- May 23, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Morton St
Jamaica Plain, MA 02130 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130
- Phone Number
- 617-983-0351
- Fax Number
- 617-971-3121
Provider Business Mailing Address Details
- Address
- 780 Albany St
Boston, MA 02118-2755 - City
- Boston
- State
- MA
- Zip
- 02118-2755
- Phone Number
- 857-654-1227
- Fax Number
- 857-654-1404
License Information
- License Number
- 4LQX
- License State
- MA
- Taxonomy
- 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 Boston Health Care For The Homeless Program, INC.?
The NPI number of Boston Health Care For The Homeless Program, INC. is 1962645572. It was assigned on April 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Boston Health Care For The Homeless Program, INC.?
Boston Health Care For The Homeless Program, INC. is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in MA under license number 4LQX.
Where does Boston Health Care For The Homeless Program, INC. practice?
The practice location is 170 Morton St, Jamaica Plain, MA 02130. The office can be reached at 617-983-0351 (phone) or 617-971-3121 (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 1962645572 directly on the NPPES registry website.