Organization
FAMILY HEALTH CENTER OF WORCESTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYDA JUSTINIANO-FRANZEL (MGR. PROVIDER RELATIONS/CRED)
(508) 860-7962
Entity
Organization
Contact information
Practice address
26 QUEEN ST, MEDICAL SERVICES, WORCESTER, MA 01610-2473
(508) 860-7962
(508) 796-7014
Mailing address
26 QUEEN ST, CREDENTIALING, WORCESTER, MA 01610-2473
(508) 860-7962
(508) 860-7014
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
—
110020639
—
MA
Enumeration date
08/08/2006
Last updated
12/05/2024
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