NPIMap

Organization Active NPI

Manet Community Health Center, Inc.

Doing business as Manet Communcity Health Center Attleboro

  • Federally Qualified Health Center (FQHC)
  • Attleboro, MA
National Provider Identifier
1336711456
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MANET COMMUNITY HEALTH CENTER, INC.
Doing business as
Manet Communcity Health Center Attleboro
Manet Community Health Center Attleboro
Practice address
8 N Main St
Attleboro, MA 02703-2282
Phone
(508) 205-4600
NPI assigned
Jul 16, 2021
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MANET COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Cynthia Sierra
Title
Chief Executive Officer
Phone
(617) 404-4101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8 N Main St
Attleboro, MA 02703-2282

Mailing address

110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 404-4102

Other names 2

  • Manet Communcity Health Center Attleboro Doing business as
  • Manet Community Health Center Attleboro Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308000241 MA Part A Provider - Federally Qualified Health Center (FQHC) 4486555158 Practice locations: Attleboro, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336711456. Details of each certification follow.

Federally qualified health center certification: CCN 221959

Legal name
MANET COMMUNITY HEALTH CENTER, INC.
Doing business as
MANET COMMUNITY HEALTH CENTER ATTLEBORO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 7, 2022
Last certification
Mar 7, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 5, 1978 in MA
Enrollment address
8 N Main St
Attleboro, MA 27032282

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Manet Community Health Center Inc13 organizations share this tax ID, including this one
Part of
Manet Community Health Center Inc

Other organizations with this tax ID 12

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

Locations

8 N Main St
Attleboro, MA 02703
Phone (508) 205-4600

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Cynthia Sierra Individual Corporate OfficerChief Executive Officer Jan 1, 2016 75%
Samantha Chen Individual Corporate DirectorBoard Member Jan 15, 2019 75%
Zachary Eaton Individual Corporate DirectorBoard Member Jan 16, 2018 75%
Lisa J Levine Individual Contracted Managing EmployeeSpecial Projects Consultatnt Mar 4, 2021
Neda Hovaizi Individual Corporate DirectorBoard Member Jan 15, 2019 75%
Lawrence Flanagan Individual Corporate DirectorBoard Member Feb 21, 2017 75%
Mary Benvenuto Individual Corporate OfficerChief Financial Officer Jan 21, 2020 75%
Stephen Keches Individual Corporate DirectorBoard Member Jan 16, 2018 75%
John D Brothers Individual Corporate DirectorBoard Member Oct 14, 2010 75%
Joseph M Reardon Individual Corporate DirectorBoard Member Oct 14, 2010 75%
Robert Griffin Individual Corporate DirectorBoard Member Jan 24, 2011 75%
John Galluzzo Individual Corporate DirectorBoard Member Jan 24, 2011 75%
Lavinia M Roosa Individual W-2 Managing Employee Mar 26, 2001 50%
Jane Kisielius Individual Corporate DirectorBoard Member Dec 17, 2017 75%
Grace McAuliffe Individual Corporate DirectorBoard Member Dec 17, 2017 75%
Ivan S Wong Individual Corporate DirectorBoard Member Jan 15, 2019 75%
Linda a Kelly Individual Corporate DirectorBoard Member Oct 14, 2010 75%
Donna Maher Individual Corporate DirectorBoard Member Mar 16, 2021 75%
Anne Bisson Individual Corporate DirectorBoard Member Nov 15, 2016 75%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1336711456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-404-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032282",
            "telephone_number": "508-205-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANET COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANET COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-404-4101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manet Communcity Health Center Attleboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manet Community Health Center Attleboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.