Fenway Community Health Center, Inc
NPI 1548589047 · Community Health Clinic/Center · Boston, MA
Fenway Community Health Center, Inc is a Community Health Clinic/Center organization in Boston, MA (NPI 1548589047).
Provider details
- NPI number
- 1548589047
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fenway Community Health Center Inc
- Organization subpart
- Yes
- Authorized official
- Jeffrey Lieberman, Vp Finanace & 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
16 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
- Sidney Borum Jr. Health Center of Fenway Health
Registry dates
- Enumerated
- 2010-05-24
- Last updated
- 2013-09-11
Frequently asked questions
- What is Fenway Community Health Center, Inc's NPI number?
- Fenway Community Health Center, Inc's National Provider Identifier (NPI) is 1548589047, 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 Community Health Clinic/Center (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 75 Kneeland St, Boston, MA 02111-1901.
- 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) 457-8140.
- 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 Jeffrey Lieberman, Vp Finanace & 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 (1548589047) is active in the NPPES registry as of the last update on 2013-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.