NPIMap

Organization Active NPI

South Cove Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
National Provider Identifier
1548449077
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4140 Issued in MA
Legal business name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Practice address
885 Washington St
Boston, MA 02111-1415
Phone
(617) 482-7555
NPI assigned
Nov 1, 2007
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Mr. Eric Tiberi
Title
Ceo
Phone
(617) 521-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4140 MA Primary

Addresses

Primary practice location

885 Washington St
Boston, MA 02111-1415

Mailing address

145 South St
Boston, MA 02111-2826
Phone (617) 521-6708

Other identifiers 1

IdentifierTypeStateIssuer
M17997OtherBLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
South Cove Community Health7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1548449077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112826",
            "telephone_number": "617-521-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111415",
            "telephone_number": "617-482-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COVE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "TIBERI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-521-6708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M17997",
            "state": null
        }
    ],
    "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 Apr 6, 2026; 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.