Great Brook Valley Health Center, Inc

LBN: Edward M. Kennedy Community Health Center, Inc
Great Brook Valley Health Center, Inc is an health care organization with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Edward M. Kennedy Community Health Center, Inc can be contacted via phone (508) 854-2128, or through Kerrigan, Stephen J via phone (508) 854-2122.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Phone: (508) 854-2128
Fax: (508) 595-1127
Website:
Map and Directions
Authorized official contact:
Name: Kerrigan, Stephen J
Phone: (508) 854-2122

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 495 Massachusetts

Profile Details

NPI number 1013048347
LBN Legal business name Edward M. Kennedy Community Health Center, Inc
DBA Doing business as Great Brook Valley Health Center, Inc
Authorized official Kerrigan, Stephen J
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2007
Last updated Nov 27th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013048347 NPPES
Massachusetts MEDICAID 110022061A
Massachusetts MEDICAID 0443891

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