CODMAN SQUARE HEALTH CENTER, INC (NPI# 1922599117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922599117 |
| Entity Type | Organization |
| Organization Name | CODMAN SQUARE HEALTH CENTER, INC |
| Other Organization Name | CODMAN SQUARE HEALTH CENTER URGENT CARE |
| Practice Address |
637 Washington Street Urgent Care Department Dorchester MA 02124-3510 |
| Practice Telephone | 6178228725 |
| Practice Fax Number | 6178228244 |
| Mailing Telephone | 6178228725 |
| Mailing Fax Number | 6178228244 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | MS. TARSHA WEAVER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6178228744 |
| Authorized Official Credential | COO |
| Is Organization Subpart | Y |
| Parent Organization Name | CODMAN SQUARE HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110022129F | 05 |
| Other Name | Type Code |
|---|---|
| Codman Square Health Center Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396808309 | Codman Square Health Center, Inc | Clinic/Center | 637 Washington St, Dorchester Center, MA 02124-3510 | 2006-12-19 |
| Street Address |
637 WASHINGTON STREET URGENT CARE DEPARTMENT |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871579342 | Stephenson Bernard Tobierre | Family Medicine | 637 Washington Street, Dorchester, MA 02124 | 2005-12-16 |
| 1487080073 | Mary R Dugan | Social Worker | 637 Washington Street, Codman Square Health Center, Dorchester, MA 02124-3510 | 2013-09-16 |
| 1407191372 | Kyla Biegun | Nurse Practitioner | 637 Washington Street, Dorchester, MA 02124 | 2012-12-04 |
| 1689987646 | Denisa Stasa | Dentist | 637 Washington Street, Dental Dept, Dorchester, MA 02124-3510 | 2010-07-20 |
| 1720310410 | Michelle Katherine Smith | Social Worker | 637 Washington Street, Dorchester, MA 02124 | 2010-02-04 |
| 1194052662 | Melanie Erica Robinson Findlay | Social Worker | 637 Washington Street, Dorchester, MA 02124-3510 | 2009-11-04 |
| 1528209996 | Anne M Mcdonald | Dietitian, Registered | 637 Washington Street, Dorchester, MA 02124 | 2009-03-16 |
| 1790924249 | Kathy Ann Ireland | Nutritionist | 637 Washington Street, Dorchester, MA 02124 | 2009-02-06 |
| 1538319769 | Gayle B Bartley | Social Worker | 637 Washington Street, Dorchester, MA 02124 | 2008-09-24 |
| 1164687943 | Ruth Reynolds Comstock | Social Worker | 637 Washington Street, Dorchester, MA 02124 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| 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 |
| 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 |
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| 1649896283 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 90 Route 6a, Sandwich, MA 02563-5301 | 2020-06-19 |
| 1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
| 1861024457 | Treehouse Center for Sensory Integration | Clinic/Center | 19 Muzzey St # L20, Lexington, MA 02421-5256 | 2020-02-11 |
| 1982262184 | Nationwide Health Advocates LLC | Clinic/Center | 5 Pleasant St Ste 1, Methuen, MA 01844-3195 | 2019-06-03 |
| 1538622436 | Onduo Professionals of Texas, P.a. | Clinic/Center | 55 Chapel St Ste 200, Newton, MA 02458-1070 | 2019-04-09 |
| 1801357454 | Kelly Dumay Pogeyed Tuguinay | Clinic/Center | 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 | 2019-03-27 |
| 1760949192 | Elizabeth Apkin Psyd LLC | Clinic/Center | 1577 Beacon St Ste D, Brookline, MA 02446-4602 | 2019-02-21 |
| 1578027975 | Chinne Health Systems LLC | Clinic/Center | 330 Lynnway Ste 112, Lynn, MA 01901-1706 | 2019-01-30 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.