| NPI | 1285630533 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-06-22 |
| Last Updated | 2022-08-24 |
| Authorized Official | John Demalia President and CEO Phone: 9788788510 |
| Mailing Address | 326 Nichols Road Fitchburg, MA 01420-1914 United States Phone: (978) 878-8100 | Fax: (978) 878-8418 📍 View Map |
| Primary Practice Address | 175 Connors Street Gardner, MA 01440-2637 United States Phone: (978) 410-6100 | Fax: (978) 410-6109 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MA | 1320815 | - |
| Other (non-Medicare) | NH | 261QC1500X | Medicaid of New Hampshire |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 261QC1500X – Clinic/Center, Community Health | MA | - |
| No | 261QC1500X – Clinic/Center, Community Health | NH | 30214981 |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | MA | 4l4l |
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About NPI 1285630533
Community Health Connections, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1285630533. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Gardner, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285630533?
NPI 1285630533 belongs to Community Health Connections, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Gardner, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285630533 active?
The current status of NPI 1285630533 in the NPPES registry is Active. The record was last updated on 2022-08-24.
What specialty is NPI 1285630533?
NPI 1285630533 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1285630533?
You can verify NPI 1285630533 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1285630533?
The primary practice address on file for NPI 1285630533 is 175 Connors Street, Gardner, MA 01440-2637. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285630533 issued?
NPI 1285630533 was first issued (enumerated) on 2005-06-22. The NPPES record was last updated on 2022-08-24.
Practice Location Map
Community Health Connections, Inc. is located at 175 Connors Street, Gardner, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Community Health Connections, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1285630533. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Community Health | 30214981 | NH |
| Clinic/Center, Federally Qualified Health Center (FQHC) | 4l4l | MA |