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
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
354 WAVERLY ST, FRAMINGHAM, MA 01702-7079
(508) 370-0113
(508) 370-3637
Mailing address
115 NE CUTOFF STE 200, WORCESTER, MA 01606-1224
(508) 854-2122
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022061E
—
MA
Enumeration date
08/05/2011
Last updated
01/25/2023
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