Organization
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Active
Parent organization
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Other names
Great Brook Valley Health Center, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Authorized official
MR. STEPHEN J KERRIGAN (PRESIDENT & CEO)
(508) 854-2122
Entity
Organization
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 854-2128
(508) 595-1127
Mailing address
650 LINCOLN ST, WORCESTER, MA 01605-2060
(508) 854-2122
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
495
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443891
—
MA
05
—
110022061A
—
MA
Enumeration date
03/08/2007
Last updated
11/27/2019
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