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FQHC FACILITY
NPI 1639240393
Clinic/Center - Federally Qualified Health Center (FQHC) in Mattapan, MA

Active since November 13, 2006CLIA 22D2048174 · Microscopy
1575 BLUE HILL AVE, MATTAPAN, MA 02126(617) 296-0061(617) 296-5408 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fqhc Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FQHC FACILITY (NPI 1639240393) is a healthcare organization registered as a federally qualified health center (fqhc) in Mattapan, Massachusetts and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through October 10, 2026 and lists Guale Valdez, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1639240393
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMATTAPAN COMMUNITY HEALTH CENTER INC
Location Address1575 BLUE HILL AVEMattapan, MA 02126-2122
Mailing Address1575 Blue Hill AveMattapan, MA 02126-2122 · (617) 296-0061 · Fax (617) 296-5408
Phone(617) 296-0061
Fax(617) 296-5408
Organization SubpartNo
Authorized OfficialGuale ValdezPresident & Chief Executive Officer · (617) 898-9090
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 29, 2019
✔ NPI 1639240393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
1575 BLUE HILL AVE, Mattapan, MA 02126
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Other Names 1

Other NameFqhc Facility

Other Identifiers 1

Medicaid1301438MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D2048174

Mattapan Community Health Center · Mattapan, MA
Active · expires Oct 10, 2026
CLIA Number22D2048174
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDr. Aimee Williams
Laboratory Phone(617) 898-9033
Laboratory LocationMattapan Community Health Center1575 Blue Hill Avenue, Mattapan, MA 02126
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMSON YU
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
DR. MICHELLE DALENCOUR M.D.
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
CVS PHARMACY INC
Pharmacy
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
ZHEN RUAN
Dental Hygienist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
DR. JASON LANIER OUTLAW DMD, DMSC
Dentist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
EMILY CASTELLANOS
Counselor (Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
MS. SHAUNTELLE MALCOLM RN
Nurse Practitioner (Psychiatric/Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
VICTORIA ELENA OLIVA RAPOPORT MD
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattapan Community Health Center Inc's NPI number?

The NPI number for Mattapan Community Health Center Inc is 1639240393. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is also known as FQHC Facility.

Where is Mattapan Community Health Center Inc located?

Mattapan Community Health Center Inc is located at 1575 Blue Hill Ave, Mattapan, MA 02126. The listed phone number is (617) 296-0061.

What is Mattapan Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Mattapan Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D2048174) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mattapan Community Health Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Mattapan Community Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mattapan Community Health Center Inc was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.