BOSTON'S COMMUNITY MEDICAL GROUP, INC.; NPI #1235174418

Contact Information

BOSTON'S COMMUNITY MEDICAL GROUP, INC.

30 NORTHAMPTON STREET
BOSTON, MA 02118

Phone: 617-433-9601
Fax: 617-445-6413
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for BOSTON'S COMMUNITY MEDICAL GROUP, INC.

NPI Number 1235174418

LBN Legal business name BOSTON'S COMMUNITY MEDICAL GROUP, INC.

Authorized official BILJANA SIMIKIC - (ACTING MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/19/2006

Last updated 02/20/2026 - About 4 months ago

Identifiers

Medicaid

110071110A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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