Organization · Type 2 NPI
Codman Square Health Center
Community Health Clinic/Center · Randolph, MA
NPI number
1003770736
Active
Practice location
42 Highland Avenue
Randolph, MA 02368-0000
Fax (617) 288-7898
Mailing address
637 Washington St
Dorchester, MA 02124-3510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
About NPI 1003770736
Codman Square Health Center's National Provider Identifier is 1003770736, issued on Dec 16, 2025. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Randolph, MA. The record was last updated on Dec 16, 2025.