NPIMap

Organization Active NPI

South Cove Community Health Center

  • Community Health Clinic/Center
  • Boston, MA
National Provider Identifier
1457653537
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
133V00000X Issued in MA
Legal business name
SOUTH COVE COMMUNITY HEALTH CENTER
Practice address
885 Washington Street
Boston, MA 02111-1415
Phone
(617) 482-7555
Fax
(617) 521-6795
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Ms. Isabella Lai Wah Ma, RD
Title
Dietitian
Phone
(617) 482-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 133V00000X MA Primary

Addresses

Primary practice location

885 Washington Street
Boston, MA 02111-1415

Mailing address

885 Washington St
Boston, MA 02111-1415
Phone (617) 482-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1457653537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111415",
            "telephone_number": "617-482-7555",
            "fax_number": "617-521-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WASHINGTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111415",
            "telephone_number": "617-482-7555",
            "fax_number": "617-521-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COVE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_middle_name": "LAI WAH",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "617-482-7555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "133V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 7, 2010; 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.