FAMILY HEALTH CENTER OF WORCESTER, INC. (NPI# 1720373251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720373251 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER OF WORCESTER, INC. |
| Other Organization Name | DOHERTY HIGH HEALTH CENTER |
| Practice Address |
299 Highland St Doherty School Based Health Center Worcester MA 01602-2110 |
| Practice Telephone | 5087557527 |
| Practice Fax Number | 5087755793 |
| Mailing Telephone | 5087557527 |
| Mailing Fax Number | 5087755793 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Authorized Official Name | MRS. FRANCES M ANTHES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5088607975 |
| Authorized Official Credential | MSW, LICSW |
| 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 |
| Other Name | Type Code |
|---|---|
| Doherty High Health Center | 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 |
| 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 |
| 1265858773 | Family Health Center of Worcester, Inc. | Clinic/Center | 29 Orchard St, Southbridge, MA 01550-4003 | 2014-03-07 |
| 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 |
299 HIGHLAND ST DOHERTY SCHOOL BASED HEALTH CENTER |
| City | WORCESTER |
| State | MA |
| Zip Code | 01602-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962915165 | Yasmin Gonzalez | Developmental Therapist | 239 Mill Street Suite B, Worcester, MA 01602 | 2017-11-09 |
| 1366971723 | Catherine Cruz | Social Worker | 255 Park Ave., Suite 500, Worcester, MA 01602 | 2017-06-08 |
| 1467986968 | Rosmery Reyes Cruz | Developmental Therapist | 111 Fairfield Street, Apt.2, Worcester, MA 01602 | 2017-04-12 |
| 1730553124 | H.r.i. Clinics Inc - (worcester Location) | Community/Behavioral Health | 411 Chandler St., Arbour Counseling Services Partial Hospital Lization Pr, Worcester, MA 01602 | 2015-11-23 |
| 1235529413 | Christine Fitzgerald | Social Worker | 411 Chandler Street, Arbour Counseling, Worcester, MA 01602 | 2015-01-27 |
| 1215354345 | Dale Burton | Speech-Language Pathologist | 257 Mower Street, Worcester, MA 01602 | 2014-03-26 |
| 1720415219 | Massachusetts Center for People, Work & Learning | Home Health | 259 June St, Worcester, MA 01602 | 2013-09-30 |
| 1699020685 | Allison Carr | Occupational Therapist | 99 June St., Apt #2, Worcester, MA 01602 | 2012-07-17 |
| 1194016543 | Michael Anthony Amato Jr. | Pharmacist | 393 Chandler St, Worcester, MA 01602 | 2011-04-20 |
| 1326365826 | Fostina Aidoo Rolle | Licensed Practical Nurse | 30 Intervale Rd, Worcester, MA 01602 | 2010-04-23 |
| Find all providers in zip 01602 | ||||
| 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 |
| 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 |
| 1144514316 | Family Health Center of Worcester, Inc. | Clinic/Center | 15 Claremont St, School-based Health Center, Worcester, MA 01610-1436 | 2011-06-06 |
| 1558530246 | Family Health Center of Worcester, Inc | Clinic/Center | 23 N Ashland St, Worcester, MA 01609-3041 | 2008-02-27 |
| 1720647209 | Family Health Center of Worcester, Inc. | Clinic/Center | 162 Chandler St, Worcester, MA 01609-2924 | 2019-06-10 |
| 1316324650 | Edward M. Kennedy Community Health Center, Inc | Clinic/Center | 631 Lincoln St, Worcester, MA 01605-2010 | 2015-05-06 |
| 1700152758 | Edward M. Kennedy Community Health Center, Inc | Clinic/Center | 585 Lincoln St, Worcester, MA 01605-1906 | 2012-03-23 |
| 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 |
| Find all providers in WORCESTER | ||||
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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.