CHARLES RIVER COMMUNITY HEALTH INC NPI 1750486106

NPI Information

NPI: 1750486106
Provider Name: CHARLES RIVER COMMUNITY HEALTH, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
43 FOUNDRY AVE
WALTHAM, MA
ZIP 02453
Phone: (617) 783-0500
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CHARLES RIVER COMMUNITY HEALTH, INC is a federally qualified health center (fqhc) clinic center in Waltham, MA. CHARLES RIVER COMMUNITY HEALTH, INC NPI is 1750486106. The provider is registered as an organization entity type.

The provider's business location address is:

43 FOUNDRY AVE
WALTHAM, MA
ZIP 02453-313
Phone: (617) 783-0500

The provider's authorized official is Elizabeth Browne .
The authorized official title is Executive Director and has the following contact phone number (617) 205-1511.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 3/17/2018.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	4157	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	Other Provider Identifier Issuer
1	2227002110	OTHER	MASSACHUSETTS	BCBS
2	682536	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN - MED
3	1320882	MEDICAID	MASSACHUSETTS
4	903699	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN - MH
5	M12043	OTHER	MASSACHUSETTS	BCBS MEDICAL/PODIATRY
6	W20419	OTHER	MASSACHUSETTS	BCBS - OPTOMETRY
7	686893	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
8	110024306T	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: 4/28/2024

NPI Synchronization or Removal

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