Mcinnis House Clinic Pharmacy

LBN: Boston Health Care For The Homeless Program, Inc.
Mcinnis House Clinic Pharmacy is an health care organization with primary practice located at 780 Albany St , Boston MA 02118. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Boston Health Care For The Homeless Program, Inc. can be contacted via phone (857) 654-1150, or through Leung, Agnes W via phone (857) 654-1200.

Contact Information

Primary practice address
780 Albany St Boston MA 02118
Phone: (857) 654-1150
Fax: (857) 654-1445
Website:
Map and Directions
Authorized official contact:
Name: Leung, Agnes W
Phone: (857) 654-1200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1801013347
LBN Legal business name Boston Health Care For The Homeless Program, Inc.
DBA Doing business as Mcinnis House Clinic Pharmacy
Authorized official Leung, Agnes W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Dec 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801013347 NPPES
Other 2240783 NCPDP
MEDICAID 110020876A NCPDP

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