The Dimock Center

LBN: Dimock Community Health Center, Inc
The Dimock Center is an health care organization with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Dimock Community Health Center, Inc can be contacted via phone (617) 442-8800, or through Gerondeau, Peter via phone (617) 442-8800.

Contact Information

Primary practice address
45 Dimock St Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 442-4088
Website:
Map and Directions
Authorized official contact:
Name: Gerondeau, Peter
Phone: (617) 442-8800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Massachusetts

Profile Details

NPI number 1588719488
LBN Legal business name Dimock Community Health Center, Inc
DBA Doing business as The Dimock Center
Authorized official Gerondeau, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 20th, 2019 - about 7 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 1588719488 NPPES
Massachusetts MEDICAID 1301144
Massachusetts Other 221862

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