NPIMap

Organization Active NPI

Roxbury Comprehensive Community Health Center, Inc.

  • Community Health Clinic/Center
  • Roxbury, MA
National Provider Identifier
1932266533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.
Practice address
435 Warren St
Roxbury, MA 02119-1833
Phone
(617) 442-7400
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Anita L. Crawford
Title
President and Ceo
Phone
(617) 442-7400

Specialties & licenses 1

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

Addresses

Primary practice location

435 Warren St
Roxbury, MA 02119-1833

Mailing address

435 Warren St
Roxbury, MA 02119-1833
Phone (617) 442-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932266533. Details of each certification follow.

  • CCN 221825 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 221825

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 10, 1993
Last certification
Nov 10, 1993
Ownership / control type
For profit – corporation
Facility address
435 Warren Street
Roxbury, MA 02119

National Provider Directory

National Provider Directory

Locations

435 Warren St
Roxbury, MA 02119
Phone (617) 442-7400

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932266533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191833",
            "telephone_number": "617-442-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191833",
            "telephone_number": "617-442-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-442-7400"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

Verify at the official NPI Registry.