SIDNEY BORUM JR. HEALTH CENTER OF FENWAY HEALTH
NPI 1548589047
Clinic/Center - Community Health in Boston, MA

NPI Status: Active since May 24, 2010

Contact Information

75 KNEELAND ST
2ND FLOOR
BOSTON, MA
ZIP 02111
Phone: (617) 457-8140
Fax: (617) 457-8141

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Community Health
  • Accepts Insurance

About SIDNEY BORUM JR. HEALTH CENTER OF FENWAY HEALTH

This page provides the complete NPI Profile along with additional information for Sidney Borum Jr. Health Center Of Fenway Health, a primary care provider established in Boston, Massachusetts operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1548589047 assigned on May 2010. The practitioner's primary taxonomy code is 261QC1500X with license number 4519 (MA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Sidney Borum Jr. Health Center Of Fenway Health. The authorized official of this NPI record is Mr. Jeffrey M Lieberman (Vp Finanace & Administration)

NPI
1548589047
Provider Legal Name
FENWAY COMMUNITY HEALTH CENTER, INC
Other Organization Name
SIDNEY BORUM JR. HEALTH CENTER OF FENWAY HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
75 KNEELAND ST 2ND FLOOR BOSTON, MA 02111
Location Phone
(617) 457-8140
Location Fax
(617) 457-8141
Mailing Address
1340 BOYLSTON ST BOSTON, MA 02215
Mailing Phone
(617) 927-6173
Mailing Fax
(617) 457-8141
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2010
Last Update Date
09-11-2013
Code Navigator

A primary care provider (PCP) like Sidney Borum Jr. Health Center Of Fenway Health 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 Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
License No.
4519
License State
MA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

4519 (MA)

Insurance Plans Accepted

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

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

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

MR. JEFFREY M LIEBERMAN

Authorized Official Title
VP FINANACE & ADMINISTRATION
Authorized Official Phone
(617) 927-6173

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
110024430FMEDICAID (05)MA 

Reviews for SIDNEY BORUM JR. HEALTH CENTER OF FENWAY HEALTH

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1548589047, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 4 → 8 5 → 10 → 1 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 1 + 0 + 8 + 1 + 8 + 0 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1548589047.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Case Management
75 KNEELAND ST, SUITE 204
BOSTON, MA 02111
Internal Medicine
75 KNEELAND ST, SUITE 201
BOSTON, MA 02111
Nurse Practitioner (Community Health)
75 KNEELAND ST, SUITE 201
BOSTON, MA 02111
Counselor (Mental Health)
75 KNEELAND ST, #201
BOSTON, MA 02111
Social Worker (Clinical)
75 KNEELAND ST
BOSTON, MA 02111
Social Worker (Clinical)
75 KNEELAND ST
BOSTON, MA 02111
Home Health
75 KNEELAND ST, SUITE 204
BOSTON, MA 02111
Social Worker (Clinical)
75 KNEELAND ST
BOSTON, MA 02111
Clinic/Center (Endoscopy)
75 KNEELAND ST
BOSTON, MA 02111
Internal Medicine
75 KNEELAND ST
BOSTON, MA 02111
Internal Medicine
75 KNEELAND ST
BOSTON, MA 02111
Dietitian, Registered
75 KNEELAND ST
BOSTON, MA 02111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548589047, enumerated as an "organization" on May 24, 2010.

The provider is located at 75 KNEELAND ST 2ND FLOOR BOSTON, MA 02111 and the phone number is (617) 457-8140.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.