Fenway Health

LBN: Fenway Health
Fenway Health is an health care organization with primary practice located at 1340 Boylston St , Boston MA 02215-4302. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental is the primary health care specialty. Fenway Health can be contacted via phone (617) 927-6127, or through Roberts, Kara via phone (617) 927-6479.

Contact Information

Primary practice address
1340 Boylston St Boston MA 02215-4302
Phone: (617) 927-6127
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Kara
Phone: (617) 927-6479

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1124259056
LBN Legal business name Fenway Health
DBA Doing business as
Authorized official Roberts, Kara
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2009
Last updated Jul 27th, 2009 - about 17 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 1124259056 NPPES
Massachusetts MEDICAID 110020739B

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