| Codman Square Health Center | |
|
42 Highland Avenue Randolph MA 02368-0000 | |
| (617) 825-9660 | |
| (617) 288-7898 |
| Full Name | Codman Square Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 42 Highland Avenue, Randolph, Massachusetts |
| Authorized Official Name and Position | Guy Fish (CEO) |
| Authorized Official Contact | 6178259660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codman Square Health Center 637 Washington St Dorchester MA 02124-3510 Ph: (617) 825-9660 | Codman Square Health Center 42 Highland Avenue Randolph MA 02368-0000 Ph: (617) 825-9660 |
| NPI Number | 1003770736 |
|---|---|
| Provider Enumeration Date | 12/16/2025 |
| Last Update Date | 12/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003770736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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