NPIMap

Organization Active NPI

Family Health Center of Worcester, Inc.

Doing business as Academy Health Center

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
National Provider Identifier
1144514316
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4669 Issued in MA
Legal business name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Doing business as
Academy Health Center
Practice address
15 Claremont St
School-Based Health Center
Worcester, MA 01610-1436
Phone
(508) 757-7641
Fax
(508) 757-5836
NPI assigned
Jun 6, 2011
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTER OF WORCESTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Alyda Justiniano-Franzel
Title
MGR. Provider Relations/Cred.
Phone
(508) 860-7962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4669 MA Primary

Addresses

Primary practice location

15 Claremont St
School-Based Health Center
Worcester, MA 01610-1436

Mailing address

15 Claremont St
School-Based Health Center
Worcester, MA 01610-1436
Phone (508) 757-7641

Other names 1

  • Academy Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family HLTH and Soc Ser10 organizations share this tax ID, including this one
Part of
Family HLTH and Soc Ser

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Claremont St
Worcester, MA 01610
Phone (508) 757-7641

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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1144514316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLAREMONT ST",
            "address_2": "SCHOOL-BASED HEALTH CENTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101436",
            "telephone_number": "508-757-7641",
            "fax_number": "508-757-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CLAREMONT ST",
            "address_2": "SCHOOL-BASED HEALTH CENTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101436",
            "telephone_number": "508-757-7641",
            "fax_number": "508-757-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "JUSTINIANO-FRANZEL",
        "authorized_official_first_name": "ALYDA",
        "authorized_official_title_or_position": "MGR. PROVIDER RELATIONS/CRED.",
        "authorized_official_telephone_number": "508-860-7962"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Academy Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.