HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC
632 Blue Hill Avenue
Dorchester, MA 02121
617-822-5520
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MA | 16544 |
Y | 261Q00000X | Ambulatory Health Care Facilities - Clinic/Center |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1305409 | MA | MEDICAID | |
110027894B | MA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 2229121 | OTHER |