Fenway Community Health Center, Inc
NPI 1982995197 · Community Health Clinic/Center · Boston, MA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1982995197
- 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 Finance & Administration(617) 927-6173
- License
- 4519 (MA)
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
15 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 South End
Registry dates
- Enumerated
- 2011-04-21
- Last updated
- 2011-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.