NPI: 1821193145
Provider Name: COMMUNITY HEALTH CENTER OF CAPE COD, INC.
Former Legal Business Name: CAPE COD FREE CLINIC IN FALMOUTH, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization
Specialization: Community Health
CLIA Number: 22D2285819
Address:
107 COMMERCIAL ST
MASHPEE, MA
ZIP 02649
Phone: (508) 477-7090
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COMMUNITY HEALTH CENTER OF CAPE COD, INC. is a community health clinic center in Mashpee, MA. COMMUNITY HEALTH CENTER OF CAPE COD, INC. NPI is 1821193145. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cape Cod Free Clinic In Falmouth, Inc.
The provider's business location address is:
107 COMMERCIAL ST
MASHPEE, MA
ZIP 02649
Phone: (508) 477-7090
Fax: (508) 477-7028
The provider's authorized official is Karen L. Gardner .
The authorized official title is Chief Executive Officer and has the following contact phone number (508) 477-7090.
The CLIA number assigned to this NPI record is 22D2285819 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/13/2006 and was last updated on 2/9/2009.