Organization
SOUTH BOSTON COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKINOLA OGUNGBADERO (CFO)
(617) 269-7500
Entity
Organization
Contact information
Practice address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7581
Mailing address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7581
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10787
BLUE CROSS DENTAL
MA
Enumeration date
12/21/2007
Last updated
12/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us