Active NPIOrganization

Mattapan Community Health Center

Clinic/Center, Dental in Mattapan, Massachusetts

NPI Number1962889162
Practice location
1575 Blue Hill Ave, Mattapan, MA 02126-2122
Fax
—
Last updated
April 27, 2015

Mattapan Community Health Center is a healthcare organization based in Mattapan, MA. Mattapan Community Health Center practices in Mattapan, MA. The NPI Number for Mattapan Community Health Center is 1962889162 and holds a License No. 88716 (MA). The current practice location address for Mattapan Community Health Center is 1575 Blue Hill Ave, Mattapan, MA 02126-2122 and can be reached out via phone at 617-296-0061.

Provider Profile Details

NPI Number
1962889162
Provider Name
Mattapan Community Health Center
Provider Entity Type
Organization
Address
1575 Blue Hill Ave, Mattapan, MA 02126-2122
Phone Number
617-296-0061
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Mr. Henry Workman · Director · 617-898-9041
Provider Enumeration Date
April 27, 2015
Last Update Date
April 27, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1575 Blue Hill Ave
Mattapan, MA 02126-2122
Zip
02126-2122
Phone Number
617-296-0061
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1575 Blue Hill Ave
Mattapan, MA 02126-2122
City
Mattapan
State
MA
Zip
02126-2122

License Information

License Number
88716
License State
MA
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Mattapan Community Health Center?

The NPI number of Mattapan Community Health Center is 1962889162. It was assigned on April 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Mattapan Community Health Center?

Mattapan Community Health Center is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 88716.

Where does Mattapan Community Health Center practice?

The practice location is 1575 Blue Hill Ave, Mattapan, MA 02126-2122. The office can be reached at 617-296-0061 (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 1962889162 directly on the NPPES registry website.

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