Organization
HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC
Active
Other names
HARVARD STREET NEIGHBORHOOD HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A. MURPHY (PRESIDENT/CEO)
(617) 825-3400
Entity
Organization
Contact information
Practice address
632 BLUE HILL AVENUE, DORCHESTER, MA 02121
(617) 822-5520
(617) 282-1450
Mailing address
632 BLUE HILL AVENUE, DORCHESTER, MA 02121
(617) 822-5520
(617) 282-1450
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
16544
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027894B
—
MA
05
—
1305409
—
MA
01
—
2229121
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/08/2007
Last updated
03/18/2014
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