| Charles River Community Health, Inc | |
|
30 Athol St Allston MA 02134-1124 | |
| (617) 783-0500 | |
| Not Available |
| Full Name | Charles River Community Health, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 30 Athol St, Allston, Massachusetts |
| Authorized Official Name and Position | Elizabeth Browne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6172081511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles River Community Health, Inc 495 Western Ave Brighton MA 02135-1007 Ph: (617) 783-0500 | Charles River Community Health, Inc 30 Athol St Allston MA 02134-1124 Ph: (617) 783-0500 |
| NPI Number | 1134306368 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134306368 | NPI | - | NPPES |
| M12043 | Other | MA | MEDICARE B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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