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Organization

NORTH SUFFOLK COMMUNITY SERVICES INC.

Active
Other names
North Suffolk Mental Health Association, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JUDI LEMOINE (CHIEF EXECUTIVE OFFICER)
(617) 912-7910
Entity
Organization

Contact information

Practice address
130 CONDOR ST, EAST BOSTON, MA 02128-1305
(617) 569-6560
(617) 569-1856
Mailing address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 889-4860
(617) 889-4635

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
CERTIFIED BY DPH
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000005443
BMC HEALTHNET-EI
MA
01
0006844
NEIGHBORHOOD HEALTH PLAN
MA
05
1800515
MA
01
3836587
CIGNA
CT
01
42317215002
TRICARE-CHAMPUS
01
612900
HARVARD PILGRIM
MA
01
708502
TUFTS HEALTH PLAN
MA
01
821870
AETNA-US HEALTHCARE
CT
01
99625101
NETWORK HEALTH
MA
01
EI0002
BLUE CROSS OF MA
MA
Enumeration date
01/11/2007
Last updated
05/17/2024
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