# DIMOCK COMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174803886
- **Authorized official:** CHRISTINE ANN LOOMIS (EARLY INTERVENTION SPECIALIST)
- **Authorized official phone:** (617) 442-8800

## Contact information

- **Practice address:** 1800 COLUMBUS AVE, ROXBURY, MA 02119-1042
- **Practice address phone:** (617) 442-8800
- **Practice address fax:** (617) 442-6762
- **Mailing address:** 1800 COLUMBUS AVE, ROXBURY, MA 02119-1042
- **Mailing address phone:** (617) 442-8800
- **Mailing address fax:** (617) 442-6762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 261QC1500X | MA | Yes |

## Other

- **Enumeration date:** 08/25/2011
- **Last updated:** 08/25/2011