Charles River Community Health, Inc in Brighton - Federally Qualified Health Center (fqhc)
Charles River Community Health, Inc - NPI 1487664884
Charles River Community Health, Inc is a Federally Qualified Health Center (fqhc) in Brighton, Massachusetts. Charles River Community Health, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Charles River Community Health, Inc is 1487664884. The last update date is 2016-03-07.
Charles River Community Health, Inc's current location address is 495 Western Ave, Brighton, Massachusetts. You can contact this provider via phone number 6177830500 and fax number 6179878222. The mailing address for Charles River Community Health, Inc is 495 Western Ave, Brighton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles River Community Health, Inc |
|---|---|
| Address | 495 Western Ave, Brighton, Massachusetts |
| Phone Number | 6177830500 |
| Fax Number | 6179878222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Browne Elizabeth |
| Telephone Number | 6172081511 |
NPI Number Detail
| NPI Number | 1487664884 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2016-03-07 |
Provider Mailing Address Detail
| Address | 495 Western Ave |
|---|---|
| City | Brighton |
| State | Massachusetts (MA) |
| Post Code | 21351007 |
| Phone Number | 6177830500 |
| Fax Number | 6179878222 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 4157 |
|
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 |
|---|---|---|---|
| 682536 | MA | TUFTS HEALTH PLAN | |
| 686893 | MA | TUFTS HEALTH PLAN | |
| M12043 | MA | BCBS MEDICAL/PODIATRY | |
| W20419 | MA | BCBS OPTOMETRY | |
| 2227002110 | MA | BCBS | |
| 1301446 | MA | -- | |
| 903699 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the Charles River Community Health, Inc's 1487664884?
The Charles River Community Health, Inc's NPI (National Provider Identifier) Number is 1487664884. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles River Community Health, Inc?
The Charles River Community Health, Inc is physically situated at 495 Western Ave, in the city of Brighton, state of MA, with the postal code 21351007.
What is Charles River Community Health, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles River Community Health, Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487664884 to Charles River Community Health, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1487664884 to Charles River Community Health, Inc on 2006-08-08.
As of what date was the information pertaining to Charles River Community Health, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles River Community Health, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-07.