| Bay Cove Human Services, Inc. | |
|
1500 Dorchester Ave. Dorchester MA 02122-1327 | |
| (617) 825-5000 | |
| (617) 288-5991 |
| Full Name | Bay Cove Human Services, Inc. |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 1500 Dorchester Ave., Dorchester, Massachusetts |
| Authorized Official Name and Position | Marcel Vernon (CFO & SVP OF FINANCE) |
| Authorized Official Contact | 6176196961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Cove Human Services, Inc. 66 Canal St. Boston MA 02114-9660 Ph: (617) 371-3062 | Bay Cove Human Services, Inc. 1500 Dorchester Ave. Dorchester MA 02122-1327 Ph: (617) 825-5000 |
| NPI Number | 1033293881 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033293881 | NPI | - | NPPES |
| 1905732 | Medicaid | MA | |
| 1905716 | Medicaid | MA | |
| 1905724 | Medicaid | MA |
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