FAMILY HEALTH CENTER OF WORCESTER, INC. (NPI# 1780183913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780183913 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER OF WORCESTER, INC. |
| Other Organization Name | WORCESTER EAST MIDDLE SCHOOL-SCHOOL BASED HEALTH CENTER |
| Practice Address |
420 Grafton St Worcester MA 01604-3802 |
| Mailing Address |
26 Queen Street Credentialing-medical Services Worcester MA 01610-2473 |
| Practice Telephone | 5087967037 |
| Mailing Telephone | 5088607962 |
| Mailing Fax Number | 5088607929 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | ALYDA JUSTINIANO (MGR. PROVIDER RELATIONS & CRED.) |
| 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 | 110020639B | 05 |
| Other Name | Type Code |
|---|---|
| Worcester East Middle School-School Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
420 GRAFTON ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.