NPIMap

Organization Active NPI

Community Health Programs

Doing business as CHP Barrington Obgyn

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
National Provider Identifier
1447488358
Registry record updated Mar 28, 2023
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
Doing business as
CHP Barrington Obgyn
Practice address
CHP Barrington OBGYN
27 Lewis Avenue. Ground Floor
Great Barrington, MA 01230
Phone
(413) 528-1470
Fax
(413) 528-3167
NPI assigned
Jun 30, 2009
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Karen Johnson
Title
Chief Human Resources and Complianc
Phone
(413) 528-9311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 4COJ MA
Federally Qualified Health Center (FQHC) 261QF0400X 4COJ MA Primary

Addresses

Primary practice location

CHP Barrington OBGYN
27 Lewis Avenue. Ground Floor
Great Barrington, MA 01230

Mailing address

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

Other names 1

  • CHP Barrington Obgyn 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
This NPI is an additional NPI on the enrollment
Practice locations: Adams, MA; Great Barrington, MA; Lee, MA; North Adams, MA; Pittsfield, MA
O20111110000271 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 1447488358. Details of each certification follow.

Federally qualified health center certification: CCN 221906

Legal name
COMMUNITY HEALTH PROGRAMS INC
Doing business as
CHP BARRINGTON OBGYN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2011
Last certification
Dec 16, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 25, 1975 in MA
Enrollment address
27 Lewis Ave
Ste 1
Great Barrington, MA 12301886

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
Tax ID family
Community Health Programs12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Arthur W Ames Individual Corporate Officer Jan 1, 2022
Brian Drake Individual Corporate OfficerBoard Member Jan 1, 2022
Thomas Walbridge Individual Corporate OfficerCfo Jan 1, 2022
Corporate DirectorCfo Jan 1, 2022
Operational/Managerial ControlCfo Jan 1, 2022
Richard Gregg Individual Corporate Officer Jan 1, 2022
Christopher Phillips Individual Corporate Officer Jan 1, 2022
Leslie Davidson Individual Corporate Officer Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 12

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": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1447488358",
    "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": "CHP BARRINGTON OBGYN",
            "address_2": "27 LEWIS AVENUE. GROUND FLOOR",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-1470",
            "fax_number": "413-528-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF HUMAN RESOURCES AND COMPLIANC",
        "authorized_official_telephone_number": "413-528-9311"
    },
    "taxonomies": [
        {
            "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 Barrington Obgyn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHP Barrington Obgyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.