MEDICARE: HARBOR HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	261QC1500X	Community Health Clinic/Center
2	261QF0400X	Federally Qualified Health Center (FQHC)
3	261QC1500X	Community Health Clinic/Center	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376502070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1135 MORTON STREET
Second Line	:
City	:	MATTAPAN
State	:	MA
Zip	:	02126-2834
Country	:	US
Telephone Number	:	617-533-2300
Fax Number	:	617-533-2301

Provider Business Practice Location Address
First Line	:	735 ATTUCKS LN
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-1867
Country	:	US
Telephone Number	:	508-778-0300
Fax Number	:	508-778-8747

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. CHARLES T. JONES
Credential	:
Telephone Number	:	617-533-2300

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/08/2024

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Directions to “HARBOR HEALTH SERVICES, INC. ” Practice Location

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