| Boston Health Care For The Homeless Program, Inc. | |
|
780 Albany Street Boston MA 02118-2524 | |
| (857) 654-1000 | |
| (857) 654-1404 |
| Full Name | Boston Health Care For The Homeless Program, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 780 Albany Street, Boston, 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 |
|---|---|
| Boston Health Care For The Homeless Program, Inc. 780 Albany Street Boston MA 02118-2524 Ph: (857) 654-1227 | Boston Health Care For The Homeless Program, Inc. 780 Albany Street Boston MA 02118-2524 Ph: (857) 654-1000 |
| NPI Number | 1033157771 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 03/14/2016 |
| Medicare PECOS PAC ID | 2668475419 |
|---|---|
| Medicare Enrollment ID | O20080819000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033157771 | NPI | - | NPPES |
| 1310828 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4LQX (Massachusetts) | Primary |
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