SOUTH BOSTON COMMUNITY HEALTH CENTER
NPI 1669447413
Clinic/Center - Community Health in South Boston, MA
About South Boston Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BOSTON COMMUNITY HEALTH CENTER (NPI 1669447413) is a healthcare organization registered as a community health in South Boston, Massachusetts and active in the NPI registry since February 2006. The organization lists Kim Tracy Harrison, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Boston Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
135Medicare enrollment records show 135 clinicians reassign Medicare billing to South Boston Community Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 103 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 135Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Boston Community Health Center's NPI number?
The NPI number for South Boston Community Health Center is 1669447413. It was assigned to this organization in the NPPES registry on February 22, 2006.
Where is South Boston Community Health Center located?
South Boston Community Health Center is located at 409 W Broadway, South Boston, MA 02127. The listed phone number is (617) 269-7500.
What is South Boston Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is South Boston Community Health Center enrolled in Medicare?
Yes. South Boston Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Boston Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 135 clinicians in 17 Medicare specialties reassign their Medicare billing to South Boston Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (42), Nurse Practitioner (33) and Optometry (12). Of these, 3 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Boston Community Health Center accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list South Boston Community Health Center 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 South Boston Community Health Center was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# South Boston Community Health Center · NPI 1669447413
Community Health organization in South Boston, Massachusetts. Organization record, active in the CMS NPPES registry since February 22, 2006.
## Identity
- **NPI:** 1669447413 (Entity type: Organization)
- **Enumerated:** February 22, 2006
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Organization subpart:** No
- **Authorized official:** Kim Harrison, CFO
## Practice location
- **Address:** 409 W BROADWAY, South Boston, MA 02127-2245
- **Phone:** (617) 269-7500 · **Fax:** (617) 464-7512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 135 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (42), Nurse Practitioner (33), Optometry (12); 3 practice at this address and 103 within 10 miles; [full list](https://npiprofile.com/npi/1669447413/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2026
- **Other identifiers:** Other CB9679
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Source: [NPI Profile](https://npiprofile.com/npi/1669447413) · Data from the CMS NPPES public registry.