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
- 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 12 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) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/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 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - 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%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - 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.
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 |
|---|---|---|---|
| 110024430F | MEDICAID (05) | MA |
Reviews for SIDNEY BORUM JR. HEALTH CENTER OF FENWAY HEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 5 | 8 | 9 | 0 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 10 | 8 | 18 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 0 + 8 + 1 + 8 + 0 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1548589047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
GREATER BOSTON CHINESE GOLDEN AGE CENTER, INC.
Case Management
75 KNEELAND ST
SUITE 204
BOSTON, MA
ZIP 02111
GREGORY FENTON M.D.
Internal Medicine
75 KNEELAND ST
SUITE 201
BOSTON, MA
ZIP 02111
KARLA HOXHA BROWN N.P.
Nurse Practitioner
(Community Health)
75 KNEELAND ST
SUITE 201
BOSTON, MA
ZIP 02111
RACHEL KAHN LMHC
Counselor
(Mental Health)
75 KNEELAND ST
#201
BOSTON, MA
ZIP 02111
WAYNE PRESTON PEARSON JR. LICSW
Social Worker
(Clinical)
75 KNEELAND ST
BOSTON, MA
ZIP 02111
SEAN JAMES BORGER LCSW
Social Worker
(Clinical)
75 KNEELAND ST
BOSTON, MA
ZIP 02111
MIDTOWN HOME HEALTH SERVICES, INC.
Home Health
75 KNEELAND ST
SUITE 204
BOSTON, MA
ZIP 02111
KATHERINE LUCIANO LICSW
Social Worker
(Clinical)
75 KNEELAND ST
BOSTON, MA
ZIP 02111
BOSTON SPECIALISTS - ENDOSCOPY LLC
Clinic/Center
(Endoscopy)
75 KNEELAND ST
BOSTON, MA
ZIP 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.
