| NPI | 1780780486 |
|---|---|
| Doing Business As | UPHAM'S CORNER HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JAGDEEP TRIVEDI CEO 617-740-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 490) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 292200000X Dental Laboratory | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-07-12 |