Edward M. Kennedy Community Health Center, Inc in Worcester - Federally Qualified Health Center (fqhc)
Edward M. Kennedy Community Health Center, Inc - NPI 1609842152
Edward M. Kennedy Community Health Center, Inc is a Federally Qualified Health Center (fqhc) in Worcester, Massachusetts. Edward M. Kennedy Community Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Edward M. Kennedy Community Health Center, Inc is 1609842152. The last update date is 2023-01-31.
Edward M. Kennedy Community Health Center, Inc's current location address is 115 Ne Cutoff Ste 200, Worcester, Massachusetts. You can contact this provider via phone number 5088542122 and fax number 5088538593. The mailing address for Edward M. Kennedy Community Health Center, Inc is 115 Ne Cutoff Ste 200, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward M. Kennedy Community Health Center, Inc |
|---|---|
| Address | 115 Ne Cutoff Ste 200, Worcester, Massachusetts |
| Phone Number | 5088542122 |
| Fax Number | 5088538593 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kerrigan J. Stephen |
| Telephone Number | 5088542122 |
NPI Number Detail
| NPI Number | 1609842152 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2023-01-31 |
Provider Mailing Address Detail
| Address | 115 Ne Cutoff Ste 200 |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16061224 |
| Phone Number | 5088542122 |
| Fax Number | 5088538593 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 4039 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 443891 | MA | -- | |
| 1301071 | MA | -- | |
| 110022061B | MA | -- | |
| 1320858 | MA | -- | |
| Y10100 | MA | BCBS OF MA |
Post Comment/ Review Below
What is the Edward M. Kennedy Community Health Center, Inc's unique identification number?
The Edward M. Kennedy Community Health Center, Inc has been assigned the NPI (National Provider Identifier) Number 1609842152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Edward M. Kennedy Community Health Center, Inc is located?
The Edward M. Kennedy Community Health Center, Inc is situated at the following address: 115 Ne Cutoff Ste 200, Worcester, MA, 16061224.
What is Edward M. Kennedy Community Health Center, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edward M. Kennedy Community Health Center, Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did Edward M. Kennedy Community Health Center, Inc receive its 1609842152 assignment from the Centers for Medicare & Medicaid Services?
The Edward M. Kennedy Community Health Center, Inc was assigned its 1609842152 on 2006-02-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Edward M. Kennedy Community Health Center, Inc most recently updated or refreshed?
The details pertaining to the Edward M. Kennedy Community Health Center, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-31.