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COMMUNITY HEALTH PROGRAMS INC NPI 1407320823


NPI Information

NPI: 1407320823
Provider Name: COMMUNITY HEALTH PROGRAMS, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 22D2172736

Address:
71 HOSPITAL AVENUE
FLOOR 3
NORTH ADAMS, MA
ZIP 01247
Phone: (413) 664-4088
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COMMUNITY HEALTH PROGRAMS, INC is a community health clinic center in North Adams, MA. COMMUNITY HEALTH PROGRAMS, INC NPI is 1407320823. The provider is registered as an organization entity type.

The provider's business location address is:

71 HOSPITAL AVENUE
FLOOR 3
NORTH ADAMS, MA
ZIP 01247
Phone: (413) 664-4088
Fax: (413) 663-6405

The provider's authorized official is Amelia Spiliotes .
The authorized official title is Ceo and has the following contact phone number (413) 528-9311.

The CLIA number assigned to this NPI record is 22D2172736 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 1/18/2019.


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 HealthYes
2261QD0000XClinic/CenterDentalNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No

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
111002813NMEDICAIDMASSACHUSETTS

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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