Organization
SOUTH END COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHNSON SR (CEO)
(617) 425-2000
Entity
Organization
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 424-8725
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 424-8725
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110009433B
—
MA
05
—
1301993
—
MA
Enumeration date
04/07/2011
Last updated
04/07/2011
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