| Worcester Health Care For The Homeless | |
|
199 Chandler St Fl 4 Worcester MA 01609-3088 | |
| (508) 860-7888 | |
| (508) 796-7053 |
| Full Name | Worcester Health Care For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 Chandler St Fl 4, Worcester, Massachusetts |
| Authorized Official Name and Position | Alyda Justiniano-franzel (MANAGER OF PROVIDER RELATIONS/CRED.) |
| Authorized Official Contact | 5088607962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worcester Health Care For The Homeless 26 Queen Street Credentialing Dept Worcester MA 01610-2473 Ph: (508) 860-7962 | Worcester Health Care For The Homeless 199 Chandler St Fl 4 Worcester MA 01609-3088 Ph: (508) 860-7888 |
| NPI Number | 1720647209 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 4789670985 |
|---|---|
| Medicare Enrollment ID | O20200410000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720647209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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