Organization
CHARLES RIVER COMMUNITY HEALTH INC
Active
Other names
Joseph M. Smith Community Health Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LOCKWOOD MULLANEY (CEO)
(617) 783-0500
Entity
Organization
Contact information
Practice address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
(617) 987-8222
Mailing address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
(617) 987-8222
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301446
—
MA
01
—
2227002110
BCBS
MA
01
—
682536
TUFTS HEALTH PLAN
MA
01
—
686893
TUFTS HEALTH PLAN
MA
01
—
903699
TUFTS HEALTH PLAN
MA
01
—
M12043
BCBS MEDICAL/PODIATRY
MA
01
—
W20419
BCBS OPTOMETRY
MA
Enumeration date
08/08/2006
Last updated
04/14/2026
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