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Organization
UPHAM'S CORNER HEALTH COMMITTEE, INC.
Active
Organization
UPHAM'S CORNER HEALTH COMMITTEE, INC.
Active
Other names
Upham's Corner Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDEEP TRIVEDI (CEO)
(617) 740-8131
Entity
Organization
Contact information
Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
(617) 282-8625
Mailing address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
(617) 282-8625
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
490
MA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QP1100X
Podiatric Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
292200000X
Dental Laboratory
—
NULL
Other
Enumeration date
09/16/2006
Last updated
07/12/2017
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