FENWAY COMMUNITY HEALTH CENTER, INC
NPI 1073744611
Clinic/Center - Federally Qualified Health Center (FQHC) in Boston, MA

NPI Status: Active since July 30, 2009

Contact Information

1340 BOYLSTON ST
6TH FLOOR
BOSTON, MA
ZIP 02215
Phone: (617) 927-6479
Fax: (617) 927-6150

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 22D0712169
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-29-2026

About FENWAY COMMUNITY HEALTH CENTER, INC

This page provides the complete NPI Profile along with additional information for Fenway Community Health Center, Inc, a primary care provider established in Boston, Massachusetts operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1073744611 assigned on July 2009. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Kara Roberts (Administrative Manager)

NPI
1073744611
Provider Name
FENWAY COMMUNITY HEALTH CENTER, INC
Entity Type
Organization
Location Address
1340 BOYLSTON ST 6TH FLOOR BOSTON, MA 02215
Location Phone
(617) 927-6479
Location Fax
(617) 927-6150
Mailing Address
1340 BOYLSTON ST 6TH FLOOR BOSTON, MA 02215
Mailing Phone
(617) 927-6479
Mailing Fax
(617) 927-6150
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-30-2009
Last Update Date
07-30-2009
Code Navigator

A primary care provider (PCP) like Fenway Community Health Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KARA ROBERTS

Authorized Official Title
ADMINISTRATIVE MANAGER
Authorized Official Phone
(617) 927-6479

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
221867MEDICARE OSCAR/CERTIFICATION (06)MA 
Y10138MEDICARE PIN (08)MA 
110020739BMEDICAID (05)MA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0712169
Facility Type
Federally Qualified Health Center
Certificate Effective Date
August 30, 2024
Certificate Expiration Date
August 29, 2026
Laboratory Director
BRIAN BAKOFEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Fenway Community Health Center, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073744611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 4 + 4 + 8 + 6 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1073744611.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Clinic/Center (Federally Qualified Health Center (FQHC))
1340 BOYLSTON ST
BOSTON, MA 02215
Physician Assistant
1340 BOYLSTON ST
BOSTON, MA 02215
Internal Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Internal Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Internal Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Nurse Practitioner (Adult Health)
1340 BOYLSTON ST
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Psychologist (Clinical)
1340 BOYLSTON ST, 7TH FLOOR
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST
BOSTON, MA 02215
Internal Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Clinic/Center (Dental)
1340 BOYLSTON ST
BOSTON, MA 02215
Pharmacist
1340 BOYLSTON ST
BOSTON, MA 02215
Physician Assistant (Medical)
1340 BOYLSTON ST, ANSIN BUILDING
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Physician Assistant (Medical)
1340 BOYLSTON ST
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST, BEHAVIORAL HEALTH, FENWAY HEALTH
BOSTON, MA 02215
Pharmacist
1340 BOYLSTON ST
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST, FENWAY HEALTH
BOSTON, MA 02215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073744611, enumerated as an "organization" on July 30, 2009.

The provider is located at 1340 BOYLSTON ST 6TH FLOOR BOSTON, MA 02215 and the phone number is (617) 927-6479.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.