| Edward M. Kennedy Community Health Center, Inc | |
|
354 Waverly St Framingham MA 01702-7079 | |
| (508) 370-0113 | |
| (508) 370-3637 |
| Full Name | Edward M. Kennedy Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 354 Waverly St, Framingham, Massachusetts |
| Authorized Official Name and Position | Stephen J Kerrigan (PRESIDENT/CEO) |
| Authorized Official Contact | 5088542122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward M. Kennedy Community Health Center, Inc 115 Ne Cutoff Ste 200 Worcester MA 01606-1224 Ph: (508) 854-2122 | Edward M. Kennedy Community Health Center, Inc 354 Waverly St Framingham MA 01702-7079 Ph: (508) 370-0113 |
| NPI Number | 1154600344 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 3476512740 |
|---|---|
| Medicare Enrollment ID | O20120627000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154600344 | NPI | - | NPPES |
| 110022061E | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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