| Whittier Street Health Center | |
|
1290 Tremont St Roxbury Crossing MA 02120-3432 | |
| (617) 427-1000 | |
| (617) 858-2674 |
| Full Name | Whittier Street Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1290 Tremont St, Roxbury Crossing, Massachusetts |
| Authorized Official Name and Position | Jim Lee (CFO / VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 6179893230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whittier Street Health Center 1290 Tremont St Roxbury Crossing MA 02120-3432 Ph: (617) 427-1000 | Whittier Street Health Center 1290 Tremont St Roxbury Crossing MA 02120-3432 Ph: (617) 427-1000 |
| NPI Number | 1457397986 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 7911977368 |
|---|---|
| Medicare Enrollment ID | O20110118001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457397986 | NPI | - | NPPES |
| 1399578 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4144 (Massachusetts) | Primary |
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