Fenway Community Health Center, Inc
NPI 1003804725 · Federally Qualified Health Center (FQHC) · Boston, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fenway Community Health Center, Inc is a Federally Qualified Health Center (FQHC) organization in Boston, MA (NPI 1003804725).
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
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fenway Health
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2011-07-07
Frequently asked questions
- What is Fenway Community Health Center, Inc's NPI number?
- Fenway Community Health Center, Inc's National Provider Identifier (NPI) is 1003804725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fenway Community Health Center, Inc?
- Fenway Community Health Center, Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Fenway Community Health Center, Inc located?
- Fenway Community Health Center, Inc's practice location on file with NPPES is 1340 Boylston St, Boston, MA 02215-4302.
- What is Fenway Community Health Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Fenway Community Health Center, Inc is (617) 927-4880.
- Does Fenway Community Health Center, Inc accept Medicare?
- Fenway Community Health Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fenway Community Health Center, Inc?
- The authorized official listed on Fenway Community Health Center, Inc's NPPES record is Jeff Lieberman, Vp Finance & Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fenway Community Health Center, Inc's NPI active?
- Yes — Fenway Community Health Center, Inc's NPI (1003804725) is active in the NPPES registry as of the last update on 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.