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COMMUNITY HEALTH PROGRAMS NPI 1194195206


NPI Information

NPI: 1194195206
Provider Name: COMMUNITY HEALTH PROGRAMS

Doing Business As: CHP NORTH ADAMS FAMILY MEDICINE

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 22D2112153

Address:
CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER
71 HOSPITAL AVENUE. FLOOR 3
NORTH ADAMS, MA
ZIP 01247
Phone: (413) 664-4088
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COMMUNITY HEALTH PROGRAMS is a community health clinic center in North Adams, MA. COMMUNITY HEALTH PROGRAMS NPI is 1194195206. The provider is registered as an organization entity type.
The provider Is Doing Business As Chp North Adams Family Medicine.

The provider's business location address is:

CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER
71 HOSPITAL AVENUE. FLOOR 3
NORTH ADAMS, MA
ZIP 01247
Phone: (413) 664-4088
Fax: (413) 663-6405

The provider's authorized official is Karen Johnson .
The authorized official title is Chief Human Resources And Complian and has the following contact phone number (413) 528-9311.

The CLIA number assigned to this NPI record is 22D2112153 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2015 and was last updated on 3/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2261QP2300XClinic/CenterPrimary Care4COJMASSACHUSETTSNo
3261QC1500XClinic/CenterCommunity Health4COJMASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110028131NMEDICAIDMASSACHUSETTS

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: 4/28/2024

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