Organization
MANET COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SIERRA (CHIEF EXECUTIVE OFFICER)
(617) 404-4101
Entity
Organization
Contact information
Practice address
110 W SQUANTUM ST STE 8, QUINCY, MA 02171-2158
(617) 690-6343
(617) 774-1905
Mailing address
110 W SQUANTUM ST STE 8, QUINCY, MA 02171-2158
(617) 690-6343
(617) 774-1905
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
4801
MA
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027788C
—
MA
Enumeration date
04/10/2018
Last updated
03/03/2023
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