{"npi":"1982995197","type":"NPI-2","status":"active","name":{"display":"Fenway Community Health Center, INC","other":[],"organization_name":"FENWAY COMMUNITY HEALTH CENTER, INC","authorised_official":"Jeffrey Lieberman"},"specialty":{"primary_taxonomy":"261QC1500X","primary_taxonomy_description":"Community Health Clinic/Center","slug":"community-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QC1500X","description":"Community Health Clinic/Center","primary":true,"state":"MA","license":"4519"}]},"addresses":[{"purpose":"LOCATION","street_1":"142 BERKELEY ST","city":"BOSTON","state":"MA","postal_code":"021165100","country_code":"US","phone":"6172477555"},{"purpose":"MAILING","street_1":"1340 BOYLSTON ST","city":"BOSTON","state":"MA","postal_code":"022154302","country_code":"US","phone":"6179276073","fax":"6179275410"}],"license":{"state":"MA","number":"4519"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110020739D","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110711000045","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"MA","pac_id":"0941299655"}]},"enumeration_date":"2011-04-21","last_updated":"2011-07-08","_meta":{"source":"NPPES","snapshot_date":"2011-07-08","doc_url":"https://findmynpi.com/api"}}