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COMMUNITY HEALTH CONNECTIONS INC. NPI 1285630533


NPI Information

NPI: 1285630533
Provider Name: COMMUNITY HEALTH CONNECTIONS, INC.

Doing Business As: GARDNER COMMUNITY HEALTH CONNECTIONS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 22D1037028

Address:
175 CONNORS STREET
GARDNER, MA
ZIP 01440
Phone: (978) 410-6100
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COMMUNITY HEALTH CONNECTIONS, INC. is a federally qualified health center (fqhc) clinic center in Gardner, MA. COMMUNITY HEALTH CONNECTIONS, INC. NPI is 1285630533. The provider is registered as an organization entity type.
The provider Is Doing Business As Gardner Community Health Connections.

The provider's business location address is:

175 CONNORS STREET
GARDNER, MA
ZIP 01440-637
Phone: (978) 410-6100
Fax: (978) 410-6109

The provider's authorized official is John A Demalia .
The authorized official title is President And Ceo and has the following contact phone number (978) 878-8510.

The CLIA number assigned to this NPI record is 22D1037028 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 8/24/2022.


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
1261QC1500XClinic/CenterCommunity HealthMASSACHUSETTSNo
2261QC1500XClinic/CenterCommunity Health30214981NEW HAMPSHIRENo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)4L4LMASSACHUSETTSYes

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
1261QC1500XOTHERNEW HAMPSHIREMEDICAID OF NEW HAMPSHIRE
21320815MEDICAIDMASSACHUSETTS

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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