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FALLON COMMUNITY HEALTH PLAN NPI 1376696674


NPI Information

NPI: 1376696674
Provider Name: FALLON COMMUNITY HEALTH PLAN

Other Name: SUMMIT ELDERCARESM

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
277 E MOUNTAIN ST
WORCESTER, MA
ZIP 01606
Phone: (508) 852-2026
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FALLON COMMUNITY HEALTH PLAN is a program of all inclusive care for the elderly pace provider organization in Worcester, MA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. FALLON COMMUNITY HEALTH PLAN NPI is 1376696674. The provider is registered as an organization entity type.
The provider Other Name Is Summit Eldercaresm.

The provider's business location address is:

277 E MOUNTAIN ST
WORCESTER, MA
ZIP 01606-207
Phone: (508) 852-2026
Fax: (508) 856-7130

The provider's authorized official is Charles Goheen .
The authorized official title is Chief Financial Officer and has the following contact phone number (508) 368-9499.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/22/2020.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization1803247MASSACHUSETTSYes

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
11803247MEDICAIDMASSACHUSETTS

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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