EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC NPI 1316324650

NPI Information

NPI: 1316324650
Provider Name: EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
605 LINCOLN ST
WORCESTER, MA
ZIP 01605
Phone: (800) 853-2288
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EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Worcester, MA. EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC NPI is 1316324650. The provider is registered as an organization entity type.

The provider's business location address is:

605 LINCOLN ST
WORCESTER, MA
ZIP 01605-901
Phone: (800) 853-2288
Fax: (508) 853-8593

The provider's authorized official is Stephen J Kerrigan .
The authorized official title is Ceo/president and has the following contact phone number (508) 854-2122.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	4039	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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