Charles River Community Health
LBN: Charles River Community Health Center
Charles River Community Health is an health care organization with primary practice located at 43 Foundry Ave , Waltham MA 02453-8313. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Charles River Community Health Center can be contacted via phone (781) 693-3873, or through Browne, Elizabeth via phone (617) 208-1511.
Contact Information
Primary practice address
43 Foundry Ave
Waltham MA 02453-8313
Phone: (781) 693-3873
Fax: (781) 693-3810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | DS90057 | Massachusetts |
Profile Details
| NPI number | 1639445034 |
|---|---|
| LBN Legal business name | Charles River Community Health Center |
| DBA Doing business as | Charles River Community Health |
| Authorized official | Browne, Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Dec 7th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639445034 | NPPES |
| Other | 2134273 | PK | |
| MEDICAID | 10024306S | PK |
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