# BOSTON MEDICAL CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOSTON MEDICAL CENTER CORPORATION
- **Other names:** Greater Roslindale Medical and Dental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386718823
- **Legal business name:** BOSTON MEDICAL CENTER CORPORATION
- **Authorized official:** TERESA T NEWSOM (SVP, CFO)
- **Authorized official phone:** (617) 414-2693

## Contact information

- **Practice address:** 4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
- **Practice address phone:** (617) 323-4440
- **Practice address fax:** (617) 323-7870
- **Mailing address:** 4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
- **Mailing address phone:** (617) 323-4440
- **Mailing address fax:** (617) 323-7870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | V112 | MA | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 07/12/2023