Organization
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TIBERI (CEO)
(617) 521-6708
Entity
Organization
Contact information
Practice address
885 WASHINGTON ST, BOSTON, MA 02111-1416
(617) 521-6800
(617) 521-6899
Mailing address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6713
(617) 521-6799
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006779
NHP
MA
05
—
1301586
—
MA
01
—
705186
TUFTS
MA
01
—
M11630
BCBS
MA
Enumeration date
07/13/2006
Last updated
04/06/2026
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