Active NPI
Community Health Programs
- Federally Qualified Health Center (FQHC)
- Great Barrington, MA
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment4
- Other NPIs with the same Medicare PAC ID5
- Practitioners50
- Medicare participation
- All disclosed owners & managing parties6
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in Great Barrington, MA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 4COJ
- Legal business name
- COMMUNITY HEALTH PROGRAMS
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Karen Johnson
- Title
- Chief Human Resources and Complianc
- Phone
- (413) 528-9311
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community Health Clinic/Center
- North Adams, MA
- NPI 1194195206
O20041025000193
-
- Community Health Clinic/Center
- Pittsfield, MA
- NPI 1649408899
O20041025000193
-
- Federally Qualified Health Center (FQHC)
- Great Barrington, MA
- NPI 1013953009
O20041025000193
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- Adams, MA
- NPI 1912272899
5799746608
-
- Federally Qualified Health Center (FQHC)
- Great Barrington, MA
- NPI 1013953009
5799746608
Practitioners 50
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Great Barrington, MA
- NPI 1912776618
-
- Family Nurse Practitioner
- Lee, MA
- NPI 1366008930
-
- Clinical Social Worker
- Pittsfield, MA
- NPI 1639445091
-
- Family Nurse Practitioner
- Adams, MA
- NPI 1356223606
-
- Community Health Registered Nurse
- Great Barrington, MA
- NPI 1134853526
-
- Obstetrics & Gynecology Physician
- Great Barrington, MA
- NPI 1194952838
-
- Family Medicine Physician
- Marina del Rey, CA
- NPI 1659735769
-
- Family Medicine Physician
- Great Barrington, MA
- NPI 1952358749
-
- Obstetrics & Gynecology Physician
- Great Barrington, MA
- NPI 1366423907
-
- Acute Care Nurse Practitioner
- North Adams, MA
- NPI 1083325179
-
- Psychiatry Physician
- Stockbridge, MA
- NPI 1326569807
-
- Family Nurse Practitioner
- Great Barrington, MA
- NPI 1578979662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
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
- Corporation
- Incorporated
- Nov 25, 1975 in MA
- Enrollment address
- 27 Lewis Ave
Ste 1
Great Barrington, MA 12301886
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
All disclosed owners & managing parties 6
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Arthur W Ames | Corporate Officer | Jan 1, 2022 | |
| Brian Drake | Corporate Officer | Jan 1, 2022 | |
| Thomas Walbridge | Corporate Officer | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Operational/Managerial Control | Jan 1, 2022 | ||
| Richard Gregg | Corporate Officer | Jan 1, 2022 | |
| Christopher Phillips | Corporate Officer | Jan 1, 2022 | |
| Leslie Davidson | Corporate Officer | Jan 1, 2022 |
National Provider Directory
National Provider Directory- Tax ID family
- Community Health Programs
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Great Barrington, MA
- NPI 1205529955
-
- Dentist
- GT Barrington, MA
- NPI 1558130302
-
- Community Health Clinic/Center
- Lee, MA
- NPI 1689945784
-
- Federally Qualified Health Center (FQHC)
- Pittsfield, MA
- NPI 1942759162
-
- Medical Specialty Clinic/Center
- Great Barrington, MA
- NPI 1144864281
-
- Federally Qualified Health Center (FQHC)
- Adams, MA
- NPI 1508602343
-
- Dental Clinic/Center
- Great Barrington, MA
- NPI 1558181487
-
- Federally Qualified Health Center (FQHC)
- Great Barrington, MA
- NPI 1588917041
-
- Federally Qualified Health Center (FQHC)
- Adams, MA
- NPI 1912272899
-
- Social Worker
- Great Barrington, MA
- NPI 1639218308
-
- Pediatrics Physician
- Pittsfield, MA
- NPI 1942720214
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 4COJ | MA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 4COJ | MA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry- CHP Barrington Obgyn
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2023.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.