Organization
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Active
Parent organization
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Authorized official
STEPHEN J KERRIGAN (PRESIDENT/CEO)
(508) 854-2122
Entity
Organization
Contact information
Practice address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 852-1805
Mailing address
650 LINCOLN ST, WORCESTER, MA 01605-2060
(508) 854-2122
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4039
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022061J
—
MA
Enumeration date
03/23/2012
Last updated
01/25/2023
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