Summit Eldercaresm

LBN: Fallon Community Health Plan
Summit Eldercaresm is an health care organization with primary practice located at 277 E Mountain St , Worcester MA 01606-1207. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Fallon Community Health Plan can be contacted via phone (508) 852-2026, or through Goheen, Charles via phone (508) 368-9499.

Contact Information

Primary practice address
277 E Mountain St Worcester MA 01606-1207
Phone: (508) 852-2026
Fax: (508) 856-7130
Website:
Map and Directions
Authorized official contact:
Name: Goheen, Charles
Phone: (508) 368-9499

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X 1803247 Massachusetts

Profile Details

NPI number 1376696674
LBN Legal business name Fallon Community Health Plan
DBA Doing business as Summit Eldercaresm
Authorized official Goheen, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1376696674 NPPES
Massachusetts MEDICAID 1803247

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