NPIMap

Organization Active NPI

Child Health Foundation

  • Primary Care Clinic/Center
  • Boston, MA
National Provider Identifier
1275564734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
50604 Issued in MA
Legal business name
CHILD HEALTH FOUNDATION
Practice address
850 Harrison Ave # Acc5
The Adolescent Center
Boston, MA 02118-4001
Phone
(617) 414-4086
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Difiore
Title
Senior Financial Officer
Phone
(617) 414-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 50604 MA Primary

Addresses

Primary practice location

850 Harrison Ave # Acc5
The Adolescent Center
Boston, MA 02118-4001

Mailing address

208 Algonquin TRL
Ashland, MA 01721-1993
Phone (508) 309-3347

Other identifiers 1

IdentifierTypeStateIssuer
3005551MedicaidMA

Other names 1

  • Boston University Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Health Foundation13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275564734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ALGONQUIN TRL",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211993",
            "telephone_number": "508-309-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE # ACC5",
            "address_2": "THE ADOLESCENT CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIFIORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SENIOR FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-414-5170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "50604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005551",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston University Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.