Organization
COMMUNITY HEALTH PROGRAMS
Active
Organization
COMMUNITY HEALTH PROGRAMS
Active
Other names
CHP North Adams Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JOHNSON (CHIEF HUMAN RESOURCES AND COMPLIAN)
(413) 528-9311
Entity
Organization
Contact information
Practice address
CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER, 71 HOSPITAL AVENUE. FLOOR 3, NORTH ADAMS, MA 01247
(413) 664-4088
(413) 663-6405
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
4COJ
MA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
4COJ
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028131N
—
MA
Enumeration date
10/01/2015
Last updated
03/30/2023
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