institution
Edward M. Kennedy Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Worcester, Massachusetts
NPI 1609842152

Edward M. Kennedy Community Health Center, Inc is a Federally Qualified Health Center (FQHC) based in Worcester, MA and is specialized in Federally Qualified Health Center (FQHC). 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 (Massachusetts).

The current practice location address for Edward M. Kennedy Community Health Center, Inc is 19 Tacoma St, Worcester, MA and can be reached out via phone at 508-852-1805 and via fax at 508-854-3248. You can also correspond with Edward M. Kennedy Community Health Center, Inc through the mailing address at 115 NE CUTOFF STE 200, WORCESTER, MA - 01606-1224 (mailing address contact number: 508-854-2122).

Location: 19 Tacoma St, Worcester, MA, 01606-1224
institution
Provider Profile Details
NPI Number
1609842152
Provider Name
Edward M. Kennedy Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
19 Tacoma St, Worcester, MA, 01606-1224
Phone Number
508-852-1805
Fax Number
508-854-3248
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0443891 05 MA
1301071 05 MA
110022061B 05 MA
1320858 05 MA
Y10100 01 MA BCBS OF MA
institution
Provider Business Practice Location Address Details
Address
19 Tacoma St
City
State
Zip
01605-3516
Phone Number
508-852-1805
Fax Number
508-854-3248
person
Provider Business Mailing Address Details
Address
115 Ne Cutoff Ste 200
City
State
Zip
01606-1224
Phone Number
508-854-2122
Fax Number
508-853-8593
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
4039 (Massachusetts)
Definition
Definition to come...
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