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 |