SOUTH COVE COMMUNITY HEALTH CENTER, INC. – Federally Qualified Health Center (FQHC), NPI 1700801263

SOUTH COVE COMMUNITY HEALTH CENTER, INC. is a healthcare provider. based in Malden, Massachusetts. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 4140 (MA). The NPI Number for SOUTH COVE COMMUNITY HEALTH CENTER, INC. is 1700801263

Main info

Organization
Name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
NPI
1700801263
Phone
(781) 912-2500
Address
277 Commercial St
Authorized Official
ERIC TIBERI CEO
Enumeration Date
13 July 2006
Last Update Date
6 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SOUTH COVE COMMUNITY HEALTH CENTER, INC.

  • 277 Commercial St

    Malden, MA 021486708

    Phone: (781) 912-2500

    Type: Location

  • 88 Holmes St

    Quincy, MA 021712431

    Phone: (617) 318-3200

    Type: Location

  • 435 Hancock St

    Quincy, MA 021712428

    Phone: (617) 318-3300

    Type: Location

  • 145 South St

    Boston, MA 021112826

    Phone: (617) 521-6700

    Type: Location

  • Josiah Quincy Elementary School, 885, Washington Street, Chinatown, Beacon Hill, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111416

    Phone: (617) 521-6800

    Fax: (617) 521-6899

    Type: Location

  • 145, South Street, Forest Hills, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    BOSTON, MA 021112826

    Phone: (617) 521-6713

    Fax: (617) 521-6799

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (861 days ago).

Enrollment records

6

Earliest due date

2024-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040323001166OClinic/Group PracticeMATBD
O20101103001151OFederally Qualified Health Center (Fqhc)MATBD
O20110103000087OFederally Qualified Health Center (Fqhc)MA2024-01-31
O20111101000605OFederally Qualified Health Center (Fqhc)MATBD
O20131223000433OFederally Qualified Health Center (Fqhc)MA2024-01-31
O20180607001018OFederally Qualified Health Center (Fqhc)MATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02148)

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Reviews

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Frequently asked questions

Can I cross-check SOUTH COVE COMMUNITY HEALTH CENTER, INC. using NPI 1700801263?
NPI 1700801263 belongs to SOUTH COVE COMMUNITY HEALTH CENTER, INC.; compare other details if you need extra assurance.
Would SOUTH COVE COMMUNITY HEALTH CENTER, INC. appear as active to a payer?
You can treat SOUTH COVE COMMUNITY HEALTH CENTER, INC. as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SOUTH COVE COMMUNITY HEALTH CENTER, INC.'s focus?
For SOUTH COVE COMMUNITY HEALTH CENTER, INC., the primary taxonomy reads as Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is SOUTH COVE COMMUNITY HEALTH CENTER, INC. located near Malden?
SOUTH COVE COMMUNITY HEALTH CENTER, INC. currently maps to Malden, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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