SOUTH END COMMUNITY HEALTH CENTER INC (NPI# 1558310052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558310052 |
| Entity Type | Organization |
| Organization Name | SOUTH END COMMUNITY HEALTH CENTER INC |
| Practice Address |
1601 Washington Street Boston MA 02118 |
| Practice Telephone | 6174252000 |
| Practice Fax Number | 6174248725 |
| Mailing Telephone | 6174252000 |
| Mailing Fax Number | 6174252002 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | MR. WILLIAM WALCZAK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6174252000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619927233 | South End Community Health Center Inc | Clinic/Center | 1601 Washington St, Boston, MA 02118-1951 | 2006-05-12 |
| Street Address |
1601 WASHINGTON STREET |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849768 | Katherine Jane Melton | Counselor | 1601 Washington Street, Boston, MA 02118 | 2017-09-04 |
| 1043674484 | Nichole Daly | Dietitian, Registered | 1601 Washington Street, South End Community Health Center, Boston, MA 02118-1951 | 2016-04-12 |
| 1659765253 | Yoanna Tejeda | Counselor | 1601 Washington Street, South End Community Health Center, Boston, MA 02118-1951 | 2015-03-23 |
| 1659634681 | Amelia Margaret Macdonald | Registered Nurse | 1601 Washington Street, Boston, MA 02118 | 2012-06-25 |
| 1467734962 | Richard C Villa | Social Worker | 1601 Washington Street, Boston, MA 02118-1951 | 2011-09-12 |
| 1235368085 | Lisandra Sierra | Registered Nurse | 1601 Washington Street, Boston, MA 02118-1951 | 2009-07-14 |
| 1437387198 | Sammantha Boaz | Nurse Practitioner | 1601 Washington Street, Boston, MA 02118 | 2009-07-01 |
| 1912135666 | Glen T Prospere | Counselor | 1601 Washington Street, Boston, MA 02118-1951 | 2009-07-01 |
| 1568514081 | Raymond Walden | Social Worker | 1601 Washington Street, Boston, MA 02118 | 2007-01-17 |
| 1669524922 | Judy Phillips | Nutritionist | 1601 Washington Street, Boston, MA 02118 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120244 | Cumberland Family Medical Center, Inc. | Clinic/Center | 130 Wilson Creek Rd, Boston, KY 40107-8554 | 2018-07-13 |
| 1780827394 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 112 Southampton St, Boston, MA 02118 | 2009-04-13 |
| 1871736488 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 39 Boylston St Fl 2, Boston, MA 02116 | 2009-04-13 |
| 1205080355 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 363 Albany St, Boston, MA 02118-2503 | 2008-11-14 |
| 1174012926 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 780 Albany St, Boston, MA 02118-2755 | 2018-05-08 |
| 1073744611 | Fenway Community Health Center, Inc | Clinic/Center | 1340 Boylston St, 6th Floor, Boston, MA 02215-4302 | 2009-07-30 |
| 1124259056 | Fenway Health | Clinic/Center | 1340 Boylston St, Boston, MA 02215-4302 | 2009-07-27 |
| 1245473859 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 55 Fruit St, Wacc 108, Boston, MA 02114 | 2009-04-13 |
| 1063655678 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 17 Court St, Boston, MA 02108 | 2009-04-13 |
| 1205080348 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 444 Harrison Ave, Boston, MA 02118 | 2008-11-14 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.