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Organization
CODMAN SQUARE HEALTH CENTER, INC
Active
Organization
CODMAN SQUARE HEALTH CENTER, INC
Active
Parent organization
CODMAN SQUARE HEALTH CENTER
Other names
Codman Square Health Center Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CODMAN SQUARE HEALTH CENTER
Authorized official
MS. TARSHA WEAVER COO (CHIEF OPERATING OFFICER)
(617) 822-8744
Entity
Organization
Contact information
Practice address
637 WASHINGTON STREET, URGENT CARE DEPARTMENT, DORCHESTER, MA 02124-3510
(617) 822-8725
(617) 822-8244
Mailing address
637 WASHINGTON STREET, URGENT CARE DEPARTMENT, DORCHESTER, MA 02124-3510
(617) 822-8725
(617) 822-8244
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022129F
—
MA
Enumeration date
05/23/2018
Last updated
06/22/2023
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