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Organization

FENWAY COMMUNITY HEALTH CENTER, INC

Active
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Organization

FENWAY COMMUNITY HEALTH CENTER, INC

Active
Parent organization
FENWAY COMMUNITY HEALTH CENTER, INC
Other names
Fenway South End
Organization subpart
Yes

Provider details

NPI number
Legal business name
FENWAY COMMUNITY HEALTH CENTER, INC
Authorized official
MR. JEFFREY M LIEBERMAN (VP FINANCE & ADMINISTRATION)
(617) 927-6173
Entity
Organization

Contact information

Practice address
142 BERKELEY ST, BOSTON, MA 02116-5100
(617) 247-7555
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 927-6073
(617) 927-5410

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
4519
MA

Other

Enumeration date
04/21/2011
Last updated
07/08/2011
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