Organization
CHARLES RIVER COMMUNITY HEALTH, INC
Active
Parent organization
CHARLES RIVER COMMUNITY HEALTH, INC
Other names
Joseph M. Smith Community Health Center, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES RIVER COMMUNITY HEALTH, INC
Authorized official
MATTHEW LOCKWOOD MULLANEY (CEO)
(781) 400-6221
Entity
Organization
Contact information
Practice address
30 ATHOL ST, ALLSTON, MA 02134-1124
(617) 783-0500
Mailing address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12043
MEDICARE B
MA
Enumeration date
01/30/2008
Last updated
05/15/2026
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