| Bhchp Family Care Clinic | |
|
1785 Columbus Ave Roxbury MA 02119-1041 | |
| (857) 654-1227 | |
| Not Available |
| Full Name | Bhchp Family Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1785 Columbus Ave, Roxbury, Massachusetts |
| Authorized Official Name and Position | Agnes W Leung (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8576541200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhchp Family Care Clinic 780 Albany St Boston MA 02118-2755 Ph: (857) 654-1227 | Bhchp Family Care Clinic 1785 Columbus Ave Roxbury MA 02119-1041 Ph: (857) 654-1227 |
| NPI Number | 1750958807 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 2668475419 |
|---|---|
| Medicare Enrollment ID | O20220202001645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750958807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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