COMMUNITY HEALTHLINK INC NPI 1649293028

NPI Information

NPI: 1649293028
Provider Name: COMMUNITY HEALTHLINK INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
12 QUEEN STREET
WORCESTER, MA
ZIP 01610
Phone: (508) 860-1260
Get Directions

COMMUNITY HEALTHLINK INC is a mental health (including community mental health center) clinic center in Worcester, MA. COMMUNITY HEALTHLINK INC NPI is 1649293028. The provider is registered as an organization entity type.

The provider's business location address is:

12 QUEEN STREET
WORCESTER, MA
ZIP 01610
Phone: (508) 860-1260
Fax: (508) 860-1115

The provider's authorized official is Jordan A. Oshlag .
The authorized official title is Vice President Of Operations and has the following contact phone number (508) 860-1163.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/25/2007.

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	261QC1500X	Clinic/Center	Community Health	4684	MASSACHUSETTS	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		2R006	MASSACHUSETTS	No
3	324500000X	Substance Abuse Rehabilitation Facility		0110	MASSACHUSETTS	No
4	251S00000X	Community/Behavioral Health		4684	MASSACHUSETTS	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	4684	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	CO MA20784	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	1307002	MEDICAID	MASSACHUSETTS
3	1303007	MEDICAID	MASSACHUSETTS
4	1308076	MEDICAID	MASSACHUSETTS
5	M20784	MEDICARE PIN	MASSACHUSETTS
6	1308742	MEDICAID	MASSACHUSETTS

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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