GREATER ROSLINDALE MEDICAL AND DENTAL CENTER – NPI #1386718823
Clinic/Center

GREATER ROSLINDALE MEDICAL AND DENTAL CENTER is an AHC clinic located in ROSLINDALE, MA. NPPES has assigned the NPI number 1386718823 to GREATER ROSLINDALE MEDICAL AND DENTAL CENTER on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREATER ROSLINDALE MEDICAL AND DENTAL CENTER” is a dba name, the actual legal business name for this organization is BOSTON MEDICAL CENTER CORPORATION. The primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

The NPI profile was previously updated about 3 years ago on Jul 12, 2023. 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 GREATER ROSLINDALE MEDICAL AND DENTAL CENTER below.

NPI Profile for
BOSTON MEDICAL CENTER CORPORATION

NPI Number
1386718823
Enumeration Date

(more than 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 CORPORATION
Doing Business As (dba): GREATER ROSLINDALE MEDICAL AND DENTAL CENTER
Primary location
4199 WASHINGTON ST
ROSLINDALE, MA 02131-1733
Phone: (617) 323-4440 Fax: (617) 323-7870
Mailing address
Same as primary location
Organization Subpart
Yes - GREATER ROSLINDALE MEDICAL AND DENTAL CENTER is subpart of another organization.
Authorized Official
TERESA NEWSOM
SVP, CFO
Phone: (617) 414-2693
Updated
Certification Date
Jul 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GREATER ROSLINDALE MEDICAL AND DENTAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMA1212095
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
261QC1500X
- Clinic/Center / Community Health (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.