Organization
FAMILY HEALTH CENTER OF WORCESTER, INC.
Active
Parent organization
FAMILY HEALTH CENTER OF WORCESTER, INC
Other names
Worcester East Middle School-School Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTER OF WORCESTER, INC
Authorized official
ALYDA JUSTINIANO-FRANZEL (MGR. PROVIDER RELATIONS & CRED.)
(508) 860-7962
Entity
Organization
Contact information
Practice address
420 GRAFTON ST, WORCESTER, MA 01604-3802
(508) 796-7037
Mailing address
26 QUEEN STREET, CREDENTIALING-MEDICAL SERVICES, WORCESTER, MA 01610-2473
(508) 860-7962
(508) 860-7929
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4669
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020639B
—
MA
Enumeration date
02/02/2018
Last updated
05/27/2022
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