Organization
SOUTH BOSTON COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM TRACY HARRISON (CFO)
(617) 464-7460
Entity
Organization
Contact information
Practice address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
Mailing address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/11/2022
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