Active NPI
Dr Hu Clinic Inc
- Primary Care Clinic/Center
- Quincy, MA
National Provider Identifier
1134664907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 223830
- Legal business name
- DR HU CLINIC INC
- Practice address
- 339 Hancock St
Quincy, MA 02171-2438 - Phone
- (617) 584-2874
- Fax
- (617) 209-7728
- NPI assigned
- Jan 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Qiyue Hu, MD
- Title
- Ceo
- Phone
- (617) 584-2874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 223830 | MA | Primary |
Addresses
Primary practice location
339 Hancock St
Quincy, MA 02171-2438
Mailing address
3 Cantwell Rd
Milton, MA 02186-1705
Phone (617) 584-2874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110090792A | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1134664907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CANTWELL RD",
"city": "MILTON",
"state": "MA",
"postal_code": "021861705",
"telephone_number": "617-584-2874",
"fax_number": "617-209-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021712438",
"telephone_number": "617-584-2874",
"fax_number": "617-209-7728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR HU CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "HU",
"authorized_official_first_name": "QIYUE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-584-2874",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MA",
"license": "223830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110090792A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.