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Organization

SPRINGFIELD DEPT OF HEALTH & HUMAN SERVICES

Active
Parent organization
CITY OF SPRINGFIELD, MA
Other names
Health Svcs Homeless-Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITY OF SPRINGFIELD, MA
Authorized official
HELEN R CAULTON-HARRIS (DIRECTOR)
(413) 787-6456
Entity
Organization

Contact information

Practice address
769 WORTHINGTON STREET, HSH DENTAL CLINIC, SPRINGFELD, MA 01105-1112
(413) 731-9575
(413) 731-9575
Mailing address
95 STATE STREET, SUITE 201, SPRINGFIELD, MA 01103-2073
(413) 787-6456
(413) 787-6458

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1312227
MA
Enumeration date
07/17/2009
Last updated
07/17/2009
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