South Boston Community Health Center
Clinic/Center in South Boston, MA(View on Map)
Legal Business Name
South Boston Community Health Center
NPI Number
1366626624
NPI Type
Organization
Enumeration Date
12/21/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
409 W BROADWAY
409 W BROADWAY
City
South Boston
South Boston
State
MA
MA
Postal Code
02127-2245
02127-2245
Country
US
US
Telephone Number
(617) 269-7500
(617) 269-7500
Authorized Official
Name
Akinola Ogungbadero
Title or Position
CFO
Telephone Number
(617) 269-7500
Identifiers
Identifier
X10787
Identifier State
MA
Identifier Issuer
BLUE CROSS DENTAL
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/21/2007
Provider Address
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