# WHITTIER STREET HEALTH CENTER COMMITTEE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whittier Street Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457397986
- **Authorized official:** MR. JIM LEE (CFO / VICE PRESIDENT FINANCE)
- **Authorized official phone:** (617) 989-3230

## Contact information

- **Practice address:** 1290 TREMONT ST, ROXBURY CROSSING, MA 02120-3432
- **Practice address phone:** (617) 427-1000
- **Practice address fax:** (617) 858-2674
- **Mailing address:** 1290 TREMONT ST, ROXBURY CROSSING, MA 02120-3432
- **Mailing address phone:** (617) 427-1000
- **Mailing address fax:** (617) 858-2674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4144 | MA | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 06/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1399578 | — | MA |
