HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC (NPI# 1902954449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902954449 |
| Entity Type | Organization |
| Organization Name | HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC |
| Other Organization Name | HARVARD STREET NEIGHBORHOOD HEALTH CENTER |
| Practice Address |
632 Blue Hill Avenue Dorchester MA 02121 |
| Practice Telephone | 6178225520 |
| Practice Fax Number | 6172821450 |
| Mailing Telephone | 6178225520 |
| Mailing Fax Number | 6172821450 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | MR. CHARLES A. MURPHY (PRESIDENT/CEO) |
| Authorized Official Telephone | 6178253400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
16544 | MA | Suppliers |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1305409 | 05 | |
| MA | 110027894B | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2229121 | 01 |
| Other Name | Type Code |
|---|---|
| HARVARD STREET NEIGHBORHOOD HEALTH CENTER | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC | 632 Blue Hill Ave, Dorchester, MA 02121-3213 |
| Street Address |
632 BLUE HILL AVENUE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295806487 | Wha-ja Woo | Pediatrics | 632 Blue Hill Avenue, Dorchester, MA 02121 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
| 1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
| 1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
| 1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in zip 02121 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
| 1922599117 | Codman Square Health Center, Inc | Clinic/Center | 637 Washington Street, Urgent Care Department, Dorchester, MA 02124-3510 | 2018-05-23 |
| 1750703351 | Michelle Marie Brady | Clinic/Center | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2014-01-16 |
| 1811245392 | Harbor Health Services, Inc. | Clinic/Center | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2012-08-15 |
| 1740465319 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2008-01-02 |
| 1487844726 | Boston Medical Center | Clinic/Center | 637 Washington Street, Dorchester, MA 02124-3510 | 2007-08-01 |
| 1972630028 | Bowdoin Street Health Center | Clinic/Center | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2007-02-27 |
| 1568479707 | University Health Service | Clinic/Center | 100 William T Morrissey Blvd, Dorchester, MA 02125-3300 | 2006-08-01 |
| 1497760052 | University Health Services | Clinic/Center | 100 William T Morrissey Blvd, Quinn Administration Building, Dorchester, MA 02125-3300 | 2006-07-30 |
| 1578514733 | Dothouse Health Inc. | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-05-13 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02121 |
Please comment or provide details below to improve the information on HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC.
| 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.