Provider Demographics
NPI:1770851628
Name:MULTILINGUAL HEALTH ALLIANCE
Entity Type:Organization
Organization Name:MULTILINGUAL HEALTH ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-361-2166
Mailing Address - Street 1:188 PROVIDENCE ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-1856
Mailing Address - Country:US
Mailing Address - Phone:617-361-2166
Mailing Address - Fax:617-364-3871
Practice Address - Street 1:188 PROVIDENCE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-1856
Practice Address - Country:US
Practice Address - Phone:617-361-2166
Practice Address - Fax:617-364-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205382207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty