# FENWAY COMMUNITY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FENWAY COMMUNITY HEALTH CENTER, INC
- **Other names:** Fenway South End
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982995197
- **Legal business name:** FENWAY COMMUNITY HEALTH CENTER, INC
- **Authorized official:** MR. JEFFREY M LIEBERMAN (VP FINANCE & ADMINISTRATION)
- **Authorized official phone:** (617) 927-6173

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 4519 | MA | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 07/08/2011