Fallon Community Health Plan
PACE Provider Organization in Worcester, Massachusetts
1376696674- Practice location
- 277 E Mountain St, Worcester, MA 01606-1207
- Phone
- 508-852-2026
- Fax
- 508-856-7130
- Last updated
- August 22, 2020
Fallon Community Health Plan is a healthcare organization based in Worcester, MA. Fallon Community Health Plan practices in Worcester, MA. The NPI Number for Fallon Community Health Plan is 1376696674 and holds a License No. 1803247 (MA). The current practice location address for Fallon Community Health Plan is 277 E Mountain St, Worcester, MA 01606-1207 and can be reached out via phone at 508-852-2026 and via fax at 508-856-7130.
Provider Profile Details
- NPI Number
- 1376696674
- Provider Name
- Fallon Community Health Plan
- Provider Entity Type
- Organization
- Address
- 277 E Mountain St, Worcester, MA 01606-1207
- Phone Number
- 508-852-2026
- Fax Number
- 508-856-7130
- Primary Taxonomy
- PACE Provider Organization · 251T00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Charles Goheen · Chief Financial Officer · 508-368-9499
- Other Names
- Summit Eldercaresm (Other Name)
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 277 E Mountain St
Worcester, MA 01606-1207 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606-1207
- Phone Number
- 508-852-2026
- Fax Number
- 508-856-7130
Provider Business Mailing Address Details
- Address
- 10 Chestnut St
Worcester, MA 01608-2898 - City
- Worcester
- State
- MA
- Zip
- 01608-2898
- Phone Number
- 508-368-9437
- Fax Number
- 508-754-1931
License Information
- License Number
- 1803247
- License State
- MA
- Taxonomy
- PACE Provider Organization · 251T00000X · 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 Fallon Community Health Plan?
The NPI number of Fallon Community Health Plan is 1376696674. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Fallon Community Health Plan?
Fallon Community Health Plan is registered under the primary taxonomy PACE Provider Organization (code 251T00000X), licensed in MA under license number 1803247.
Where does Fallon Community Health Plan practice?
The practice location is 277 E Mountain St, Worcester, MA 01606-1207. The office can be reached at 508-852-2026 (phone) or 508-856-7130 (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 1376696674 directly on the NPPES registry website.