| Bay Cove Human Services, Inc. | |
|
31 Bowker St Boston MA 02114-2917 | |
| (617) 371-3000 | |
| (617) 371-3100 |
| Full Name | Bay Cove Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 31 Bowker St, Boston, 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 02114-2002 Ph: (617) 371-3000 | Bay Cove Human Services, Inc. 31 Bowker St Boston MA 02114-2917 Ph: (617) 371-3000 |
| NPI Number | 1689831281 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689831281 | NPI | - | NPPES |
| 1303562 | Medicaid | MA | |
| 1306448 | Other | MA | MBHP |
| 000000008416 | Other | MA | BMC |
| 1000290 | Other | MA | BEACON HEALTH STRATEGIES |
| 98738301 | Other | MA | NETWORK HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4189 (Massachusetts) | Primary |
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