NPIMap

Organization Active NPI

Community Health Programs, Inc.

Doing business as CHP community Health Center

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
National Provider Identifier
1013953009
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4COJ Issued in MA
Legal business name
COMMUNITY HEALTH PROGRAMS, INC.
Doing business as
CHP community Health Center
Practice address
Community Health Programs, Inc.
444 Stockbridge Road
Great Barrington, MA 01230
Phone
(413) 528-8580
Fax
(413) 528-8580
NPI assigned
Jun 20, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Harry Palacios
Title
Credentialing Manager
Phone
(413) 528-9311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Community Health Clinic/Center 261QC1500X 4COJ MA
Federally Qualified Health Center (FQHC) 261QF0400X 4COJ MA Primary

Addresses

Primary practice location

Community Health Programs, Inc.
444 Stockbridge Road
Great Barrington, MA 01230

Mailing address

P.O. Box 30
Credentialing Dept
Great Barrington, MA 01230
Phone (413) 528-9311

Other names 1

  • CHP community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041025000193 MA Part B Supplier - Clinic/Group Practice 5799746608 Receives reassigned benefits from 104 practitioners
4 other NPIs on this enrollment
Practice locations: Adams, MA; Great Barrington, MA; Lee, MA; North Adams, MA; Pittsfield, MA
O20110511000668 MA Part A Provider - Federally Qualified Health Center (FQHC) 5799746608 Practice locations: Great Barrington, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013953009. Details of each certification follow.

Federally qualified health center certification: CCN 221847

Legal name
COMMUNITY HEALTH PROGRAMS INC
Doing business as
CHIP
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 21, 2002
Last certification
Jun 21, 2002
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 25, 1975 in MA
Enrollment address
444 Stockbridge Rd
Great Barrington, MA 12301295

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

444 Stockbridge Rd
Gt Barrington, MA 01230
Phone (413) 528-8580

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Drake Individual Corporate OfficerBoard Member Jan 1, 2022 100%
Corporate DirectorBoard Director Jan 1, 2023 100%
Thomas Walbridge Individual Corporate OfficerCfo May 1, 2017 100%
Corporate DirectorCfo Jan 1, 2023 100%
Operational/Managerial ControlCfo May 11, 2023 100%
Christopher Phillips Individual Corporate OfficerBoard Member Jan 1, 2023 100%
Corporate DirectorBoard Member Jan 1, 2023

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1013953009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "address_2": "CREDENTIALING DEPT",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH PROGRAMS, INC.",
            "address_2": "444 STOCKBRIDGE ROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-8580",
            "fax_number": "413-528-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "413-528-9311"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "4COJ",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4COJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHP community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHP community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.