Codman Square Health Center Inc
NPI 1396808309 · Community Health Clinic/Center · Dorchester Center, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Codman Square Health Center Inc is a Community Health Clinic/Center organization in Dorchester Center, MA (NPI 1396808309).
Provider details
- NPI number
- 1396808309
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Guy Fish, Chief Executive Officer(617) 825-9660
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 9 Peacevale RdDorchester, MA 02124-4417Phone: (617) 822-8744
- 42 Highland AvenueRandolph, MA 02368-0000Phone: (617) 825-9660
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Codman Square Health Center Inc's NPI number?
- Codman Square Health Center Inc's National Provider Identifier (NPI) is 1396808309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Codman Square Health Center Inc?
- Codman Square Health Center Inc is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Codman Square Health Center Inc located?
- Codman Square Health Center Inc's practice location on file with NPPES is 637 Washington St, Dorchester Center, MA 02124-3510.
- What is Codman Square Health Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Codman Square Health Center Inc is (617) 825-9660.
- Does Codman Square Health Center Inc accept Medicare?
- Codman Square 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 Codman Square Health Center Inc?
- The authorized official listed on Codman Square Health Center Inc's NPPES record is Guy Fish, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Codman Square Health Center Inc's NPI active?
- Yes — Codman Square Health Center Inc's NPI (1396808309) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.