NPIMap

Organization Active NPI

Springfield Dept of Health & Human Services

  • Community Health Clinic/Center
  • Springfeld, MA
National Provider Identifier
1407086937
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SPRINGFIELD DEPT OF HEALTH & HUMAN SERVICES
Practice address
769 Worthington Street
HSH Dental Clinic
Springfeld, MA 01105-1112
Phone
(413) 731-9575
Fax
(413) 731-9575
NPI assigned
Jul 17, 2009
Organization subpart
Yes
Parent organization
CITY OF SPRINGFIELD, MAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Helen R Caulton-Harris
Title
Director
Phone
(413) 787-6456

Specialties & licenses 1

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

Addresses

Primary practice location

769 Worthington Street
HSH Dental Clinic
Springfeld, MA 01105-1112

Mailing address

95 State Street
Suite 201
Springfield, MA 01103-2073
Phone (413) 787-6456

Other identifiers 1

IdentifierTypeStateIssuer
1312227MedicaidMA

Other names 1

  • Health Svcs Homeless-Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Springfield4 organizations share this tax ID, including this one
Part of
City of Springfield

Other organizations with this tax ID 3

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

Locations

769 Worthington St
Springfield, MA 01105
Phone (413) 731-9575

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1407086937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 STATE STREET",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032073",
            "telephone_number": "413-787-6456",
            "fax_number": "413-787-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 WORTHINGTON STREET",
            "address_2": "HSH DENTAL CLINIC",
            "city": "SPRINGFELD",
            "state": "MA",
            "postal_code": "011051112",
            "telephone_number": "413-731-9575",
            "fax_number": "413-731-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD DEPT OF HEALTH & HUMAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF SPRINGFIELD, MA",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "CAULTON-HARRIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "413-787-6456"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312227",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Svcs Homeless-Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.