| Charles River Community Health, Inc | |
|
43 Foundry Ave Waltham MA 02453-8313 | |
| (617) 783-0500 | |
| Not Available |
| Full Name | Charles River Community Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 Foundry Ave, Waltham, Massachusetts |
| Authorized Official Name and Position | Elizabeth Browne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6172051511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles River Community Health, Inc 495 Western Ave Brighton MA 02135-1007 Ph: (781) 693-3800 | Charles River Community Health, Inc 43 Foundry Ave Waltham MA 02453-8313 Ph: (617) 783-0500 |
| NPI Number | 1750486106 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5294709812 |
|---|---|
| Medicare Enrollment ID | O20041207000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750486106 | NPI | - | NPPES |
| 2227002110 | Other | MA | BCBS |
| 1320882 | Medicaid | MA | |
| W20419 | Other | MA | BCBS - OPTOMETRY |
| 903699 | Other | MA | TUFTS HEALTH PLAN - MH |
| M12043 | Other | MA | BCBS MEDICAL/PODIATRY |
| 686893 | Other | MA | TUFTS HEALTH PLAN |
| 110024306T | Medicaid | MA | |
| 682536 | Other | MA | TUFTS HEALTH PLAN - MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4157 (Massachusetts) | Primary |
Henry John Merola, M.d., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 South St, Suite 205, Waltham, MA 02453 Phone: 781-894-8200 Fax: 781-894-8202 | |
Varuna Tuli Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 South St, Suite No 200, Waltham, MA 02453 Phone: 781-996-3595 | |
Evoke Wellness Waltham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Main St Ste 100, Waltham, MA 02452 Phone: 617-909-5283 Fax: 954-990-6305 | |
Az Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Gatehouse Dr, Astrazeneca, Waltham, MA 02451 Phone: 781-839-4852 | |
Waltham Weston Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Hope Ave, Suite 152, Waltham, MA 02453 Phone: 781-547-6030 Fax: 781-547-6036 | |
Albany Kidney Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Winter St, Waltham, MA 02451 Phone: 480-639-7185 Fax: 602-798-8267 | |
Solomon A. Gabbay, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Hope Ave, Suite 206, Waltham, MA 02453 Phone: 781-894-2498 |