| Edward M. Kennedy Community Health Center, Inc | |
|
585 Lincoln St Worcester MA 01605-1906 | |
| (508) 852-1805 | |
| Not Available |
| Full Name | Edward M. Kennedy Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 585 Lincoln St, Worcester, Massachusetts |
| Authorized Official Name and Position | Stephen J Kerrigan (PRESIDENT/CEO) |
| Authorized Official Contact | 5088542122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward M. Kennedy Community Health Center, Inc 650 Lincoln St Worcester MA 01605-2060 Ph: (508) 854-2122 | Edward M. Kennedy Community Health Center, Inc 585 Lincoln St Worcester MA 01605-1906 Ph: (508) 852-1805 |
| NPI Number | 1700152758 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700152758 | NPI | - | NPPES |
| 110022061J | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4039 (Massachusetts) | Primary |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
Neh Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Pleasant St, Worcester, MA 01609 Phone: 508-735-3280 | |
Worcester Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-1808 Fax: 508-798-0538 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
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