Provider Demographics
NPI:1891731956
Name:MANET COMMUNITY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:MANET COMMUNITY HEALTH CENTER, INC.
Other - Org Name:MANET COMMUNITY HEALTH CENTER, INC. AT SNUG HARBOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MPH
Authorized Official - Phone:617-376-3030
Mailing Address - Street 1:110 W SQUANTUM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2122
Mailing Address - Country:US
Mailing Address - Phone:617-376-3030
Mailing Address - Fax:617-774-1906
Practice Address - Street 1:9 BICKNELL ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-6003
Practice Address - Country:US
Practice Address - Phone:617-471-4715
Practice Address - Fax:617-472-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4801261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1304879Medicaid
MA1304879Medicaid