| Fenway Community Health Center, Inc | |
|
359 Green St Cambridge MA 02139-3334 | |
| (617) 927-6050 | |
| Not Available |
| Full Name | Fenway Community Health Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 359 Green St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Moire Daniel (DIRECTOR OF BILLING AND COLLECTIONS) |
| Authorized Official Contact | 6179276279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenway Community Health Center, Inc Po Box 847492 Boston MA 02284-7492 Ph: (617) 927-6050 | Fenway Community Health Center, Inc 359 Green St Cambridge MA 02139-3334 Ph: (617) 927-6050 |
| NPI Number | 1689318503 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689318503 | NPI | - | NPPES |
| 1303546 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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