Active NPIOrganization

Edward M. Kennedy Community Health Center, INC

Clinic/Center, Federally Qualified Health Center (FQHC) in Worcester, Massachusetts

NPI Number1700152758
Practice location
585 Lincoln St, Worcester, MA 01605-1906
Fax
—
Last updated
January 25, 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 1700152758 and holds a License No. 4039 (MA). The current practice location address for Edward M. Kennedy Community Health Center, INC is 585 Lincoln St, Worcester, MA 01605-1906 and can be reached out via phone at 508-852-1805.

Provider Profile Details

NPI Number
1700152758
Provider Name
Edward M. Kennedy Community Health Center, INC
Provider Entity Type
Organization
Address
585 Lincoln St, Worcester, MA 01605-1906
Phone Number
508-852-1805
Organization Subpart
Yes
Parent Organization
Edward M. Kennedy Community Health Center, INC
Authorized Official
Stephen J Kerrigan · President/Ceo · 508-854-2122
Provider Enumeration Date
March 23, 2012
Last Update Date
January 25, 2023
Certification Date
January 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
585 Lincoln St
Worcester, MA 01605-1906
Zip
01605-1906
Phone Number
508-852-1805
Worcester, MA 01605Get directions →

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
4039
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
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 1700152758. It was assigned on March 23, 2012 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 585 Lincoln St, Worcester, MA 01605-1906. The office can be reached at 508-852-1805 (phone).

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 1700152758 directly on the NPPES registry website.

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