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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