Organization
MANET COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SIERRA (CHIEF EXECUTIVE OFFICER)
(617) 404-4101
Entity
Organization
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3030
(617) 774-1906
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3030
(617) 774-1906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4801
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302841
—
MA
Enumeration date
09/25/2006
Last updated
03/03/2023
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