NPIMap

Organization Active NPI

Greater New Bedford Community Health Center, Inc.

Doing business as Greater New Bedford Community Health Center - Wareham

  • Community Health Clinic/Center
  • Wareham, MA
National Provider Identifier
1073993937
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
4005 Issued in MA
Legal business name
GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.
Doing business as
Greater New Bedford Community Health Center - Wareham
Practice address
135 Marion Rd
Wareham, MA 02571-1423
Phone
(508) 992-6553
Fax
(508) 984-8420
NPI assigned
Jun 5, 2015
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Cheryl A Bartlett
Title
President and Ceo
Phone
(508) 992-6553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 4005 MA Primary

Addresses

Primary practice location

135 Marion Rd
Wareham, MA 02571-1423

Mailing address

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

Other names 1

  • Greater New Bedford Community Health Center - Wareham Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000606 MA Part B Supplier - Clinic/Group Practice 7214848811 Receives reassigned benefits from 49 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Bedford, MA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Greater New Bedford Com

Locations

26 Caroline St
New Bedford, MA 02740
Phone (508) 992-6553

135 Marion Rd
Wareham, MA 02571
Phone (508) 992-6553

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1073993937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406232",
            "telephone_number": "508-992-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MARION RD",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711423",
            "telephone_number": "508-992-6553",
            "fax_number": "508-984-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "508-992-6553"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater New Bedford Community Health Center - Wareham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater New Bedford Community Health Center - Wareham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.