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Fenway Community Health Center, Inc — NPI 1003804725, Boston, MA | NPI Central

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NPI 1003804725

OrganizationActive

Fenway Community Health Center, Inc

NPI 1003804725 · Federally Qualified Health Center (FQHC) · Boston, MA

Provider details

NPI number: 1003804725
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Jeff Lieberman, Vp Finance & Administration(617) 927-6173
License: 4519 (MA)

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400XLicense 4519 (MA)
Ambulatory Health Care Facilities
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 4519 (MA)
Ambulatory Health Care Facilities

Practice location

1340 Boylston St

Boston, MA 02215-4302

Phone: (617) 927-4880

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

1340 Boylston St

Boston, MA 02215-4302

Other names (DBA / former)

Doing business as: Fenway Health

Registry dates

Enumerated: 2005-10-06
Last updated: 2011-07-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.