Edward M. Kennedy Community Health Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Worcester, Massachusetts
1609842152- Practice location
- 19 Tacoma St, Worcester, MA 01605-3516
- Phone
- 508-852-1805
- Fax
- 508-854-3248
- Last updated
- January 31, 2023
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 1609842152 and holds a License No. 4039 (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 508-852-1805 and via fax at 508-854-3248.
Provider Profile Details
- NPI Number
- 1609842152
- Provider Name
- Edward M. Kennedy Community Health Center, INC
- Provider Entity Type
- Organization
- Address
- 19 Tacoma St, Worcester, MA 01605-3516
- Phone Number
- 508-852-1805
- Fax Number
- 508-854-3248
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- 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
- February 24, 2006
- Last Update Date
- January 31, 2023
- Certification Date
- January 31, 2023
- 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
- 508-852-1805
- Fax Number
- 508-854-3248
Provider Business Mailing Address Details
- Address
- 115 NE Cutoff Ste 200
Worcester, MA 01606-1224 - City
- Worcester
- State
- MA
- Zip
- 01606-1224
- Phone Number
- 508-854-2122
- Fax Number
- 508-853-8593
License Information
- License Number
- 4039
- License State
- MA
- Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · 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 1609842152. It was assigned on February 24, 2006 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 Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in MA under license number 4039.
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 508-852-1805 (phone) or 508-854-3248 (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 1609842152 directly on the NPPES registry website.