| Edward M. Kennedy Community Health Center, Inc | |
|
41 Cape Rd Milford MA 01757-3276 | |
| (800) 853-2288 | |
| Not Available |
| Full Name | Edward M. Kennedy Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 41 Cape Rd, Milford, 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 41 Cape Rd Milford MA 01757-3276 Ph: (800) 853-2288 |
| NPI Number | 1992137426 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 3476512740 |
|---|---|
| Medicare Enrollment ID | O20140227000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992137426 | NPI | - | NPPES |
| 110022061O | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4039 (Massachusetts) | Primary |
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