FAMILY HEALTH CENTER OF WORCESTER, INC. (NPI# 1265858773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265858773 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER OF WORCESTER, INC. |
| Other Organization Name | FAMILY HEALTH CENTER-SOUTHBRIDGE |
| Practice Address |
29 Orchard St Southbridge MA 01550-4003 |
| Mailing Address |
26 Queen St Credentialing Worcester MA 01610-2473 |
| Practice Telephone | 7743181445 |
| Practice Fax Number | 7743181446 |
| Mailing Telephone | 5088607962 |
| Mailing Fax Number | 5088607929 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | MS. ALYDA JUSTINIANO (PROVIDER RELATIONS/CREDENTIALING) |
| Authorized Official Telephone | 5088607962 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTER OF WORCESTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4669 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE PART A | 22-1922 | 01 |
| Other Name | Type Code |
|---|---|
| Family Health Center-Southbridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183913 | Family Health Center of Worcester, Inc. | Clinic/Center | 420 Grafton St, Worcester, MA 01604-3802 | 2018-02-02 |
| 1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
| 1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
| 1144514316 | Family Health Center of Worcester, Inc. | Clinic/Center | 15 Claremont St, School-based Health Center, Worcester, MA 01610-1436 | 2011-06-06 |
| 1720647209 | Family Health Center of Worcester, Inc. | Clinic/Center | 162 Chandler St, Worcester, MA 01609-2924 | 2019-06-10 |
| 1326582024 | Family Health Center of Worcester, Inc. | Clinic/Center | 32 Orchard St, Southbridge, MA 01550-4004 | 2016-12-14 |
| 1770878225 | Family Health Center of Worcester, Inc. | Clinic/Center | 170 Apricot St, School-based Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1780851600 | Family Health Center of Worcester, Inc. | Clinic/Center | 645 Park Ave, Worcester, MA 01603 | 2008-05-09 |
| 1992987630 | Family Health Center of Worcester, Inc. | Clinic/Center | 26 Queen St, Worcester, MA 01610-2473 | 2007-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTER OF WORCESTER, INC. | 26 Queen St Ste 3, Worcester, MA 01610-2473 |
| Street Address |
29 ORCHARD ST |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932165719 | Margaret Rose Poole | Nurse Practitioner | 29 Orchard St, Southbridge, MA 01550-4003 | 2006-04-21 |
| 1821356312 | Sheila Provencher Abdallah | Family Medicine | 29 Orchard St, Southbridge, MA 01550-4003 | 2012-05-02 |
| 1306872452 | Adam A Paszkowski | Internal Medicine | 29 Orchard St, Southbridge, MA 01550-4003 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183913 | Family Health Center of Worcester, Inc. | Clinic/Center | 420 Grafton St, Worcester, MA 01604-3802 | 2018-02-02 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
| 1497148407 | Brockton Neighborhood Health Center | Clinic/Center | 158 Pleasant Street, Brockton, MA 02301 | 2015-03-16 |
| 1053729426 | Community Health Connections, Inc. | Clinic/Center | 140 Arnhow Farm Road, Fitchburg, MA 01420-1369 | 2014-07-29 |
| 1689092595 | Lowell Community Health Center, Inc. | Clinic/Center | 101 Jackson St, Lowell, MA 01852-2103 | 2014-03-29 |
| 1912272899 | Community Health Programs, Inc | Clinic/Center | 19 Depot Street, Adams, MA 01220 | 2012-03-12 |
| 1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
| 1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.