| Organization Name: | MANET COMMUNITY HEALTH CENTER, INC. |
| NPI Number: | 1114027539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY TUTTLE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 110 W Squantum St North Quincy |
| State: | MA US |
| Postal Code: | 021712122 |
| Phone Number: | 6173763030 |
| Fax Number: | 6177741906 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 4801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |