Organization
EDWARD M KENNEDY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SMALL (VICE PRESIDENT HUMAN RESOURCES)
(508) 532-7315
Entity
Organization
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 854-3248
Mailing address
115 NE CUTOFF STE 200, WORCESTER, MA 01606-1224
(508) 532-7318
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2303995
MA
Other
Enumeration date
01/04/2016
Last updated
01/31/2023
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