Organization
UPHAM'S CORNER HEALTH COMMITTEE, INC.
Active
Organization
UPHAM'S CORNER HEALTH COMMITTEE, INC.
Active
Other names
Upham's Corner Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDEEP TRIVEDI (CEO)
(617) 740-8131
Entity
Organization
Contact information
Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
(617) 282-8625
Mailing address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
(617) 282-8625
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
490
MA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
292200000X
Dental Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301977
—
MA
Enumeration date
09/16/2006
Last updated
07/12/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up