NPIMap

Organization Active NPI

Dimock Comunity Health Center

  • Community Health Clinic/Center
  • Roxbury, MA
National Provider Identifier
1174803886
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
261QC1500X Issued in MA
Legal business name
DIMOCK COMUNITY HEALTH CENTER
Practice address
1800 Columbus Ave
Roxbury, MA 02119-1042
Phone
(617) 442-8800
Fax
(617) 442-6762
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Ann Loomis
Title
Early Intervention Specialist
Phone
(617) 442-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 261QC1500X MA Primary

Addresses

Primary practice location

1800 Columbus Ave
Roxbury, MA 02119-1042

Mailing address

1800 Columbus Ave
Roxbury, MA 02119-1042
Phone (617) 442-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1174803886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COLUMBUS AVE",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191042",
            "telephone_number": "617-442-8800",
            "fax_number": "617-442-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLUMBUS AVE",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191042",
            "telephone_number": "617-442-8800",
            "fax_number": "617-442-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMOCK COMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EARLY INTERVENTION SPECIALIST",
        "authorized_official_telephone_number": "617-442-8800"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "261QC1500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.