Edward M. Kennedy Community Health Center, INC
Pharmacy, Clinic Pharmacy in Worcester, Massachusetts
1013048347- Practice location
- 19 Tacoma St, Worcester, MA 01605-3516
- Phone
- 508-854-2128
- Fax
- 508-595-1127
- Last updated
- November 27, 2019
Edward M. Kennedy Community Health Center, INC is a healthcare organization based in Worcester, MA. Edward M. Kennedy Community Health Center, INC practices in Worcester, MA. The NPI Number for Edward M. Kennedy Community Health Center, INC is 1013048347 and holds a License No. 495 (MA). The current practice location address for Edward M. Kennedy Community Health Center, INC is 19 Tacoma St, Worcester, MA 01605-3516 and can be reached out via phone at 508-854-2128 and via fax at 508-595-1127.
Provider Profile Details
- NPI Number
- 1013048347
- Provider Name
- Edward M. Kennedy Community Health Center, INC
- Provider Entity Type
- Organization
- Address
- 19 Tacoma St, Worcester, MA 01605-3516
- Phone Number
- 508-854-2128
- Fax Number
- 508-595-1127
- Primary Taxonomy
- Pharmacy, Clinic Pharmacy · 3336C0002X
- Organization Subpart
- Yes
- Parent Organization
- Edward M. Kennedy Community Health Center, INC
- Authorized Official
- Mr. Stephen J Kerrigan · President & Ceo · 508-854-2122
- Other Names
- Great Brook Valley Health Center, INC (Former Legal Business Name)
- Provider Enumeration Date
- March 8, 2007
- Last Update Date
- November 27, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Tacoma St
Worcester, MA 01605-3516 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-3516
- Phone Number
- 508-854-2128
- Fax Number
- 508-595-1127
Provider Business Mailing Address Details
- Address
- 650 Lincoln St
Worcester, MA 01605-2060 - City
- Worcester
- State
- MA
- Zip
- 01605-2060
- Phone Number
- 508-854-2122
- Fax Number
- 508-853-8593
License Information
- License Number
- 495
- License State
- MA
- Taxonomy
- Pharmacy, Clinic Pharmacy · 3336C0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edward M. Kennedy Community Health Center, INC?
The NPI number of Edward M. Kennedy Community Health Center, INC is 1013048347. It was assigned on March 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Edward M. Kennedy Community Health Center, INC?
Edward M. Kennedy Community Health Center, INC is registered under the primary taxonomy Pharmacy, Clinic Pharmacy (code 3336C0002X), licensed in MA under license number 495.
Where does Edward M. Kennedy Community Health Center, INC practice?
The practice location is 19 Tacoma St, Worcester, MA 01605-3516. The office can be reached at 508-854-2128 (phone) or 508-595-1127 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013048347 directly on the NPPES registry website.