BOSTON MEDICAL CENTER – NPI #1487844726
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

BOSTON MEDICAL CENTER is an AHC clinic located in DORCHESTER, MA. NPPES has assigned the NPI number 1487844726 to BOSTON MEDICAL CENTER on August 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BOSTON MEDICAL CENTER is also known by the name CODMAN SQUARE HEALTH CENTER. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 8 years ago on Mar 14, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOSTON MEDICAL CENTER below.

NPI Profile for
BOSTON MEDICAL CENTER

NPI Number
1487844726
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSTON MEDICAL CENTER
Other Name: CODMAN SQUARE HEALTH CENTER
Primary location
637 WASHINGTON STREET
DORCHESTER, MA 02124-3510
Phone: (617) 825-9660 Fax: (617) 288-7898
Mailing address
637 WASHINGTON ST
DORCHESTER, MA 02124-3510
Phone: (617) 825-9660 Fax: (617) 288-7898
Organization Subpart
Yes - BOSTON MEDICAL CENTER is subpart of another organization.
Authorized Official
TRUDY GRIFFIN
CREDENTIALING COORDINATOR
Phone: (617) 822-8382
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
MA V112

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.