NPIMap

Organization Active NPI

Community Health Connections, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fitchburg, MA
National Provider Identifier
1477580827
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4141 Issued in MA
Legal business name
COMMUNITY HEALTH CONNECTIONS, INC.
Doing business as
Community Health Connections, Inc.
Practice address
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone
(978) 878-8100
Fax
(978) 878-8418
NPI assigned
Jun 28, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mr. John A Demalia
Title
President and Ceo
Phone
(978) 878-8510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X MA
Federally Qualified Health Center (FQHC) 261QF0400X 4141 MA Primary

Addresses

Primary practice location

326 Nichols Rd
Fitchburg, MA 01420-1914

Mailing address

326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100

Other names 1

  • Community Health Connections, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422001136 MA Part B Supplier - Clinic/Group Practice 8729074992 Receives reassigned benefits from 138 practitioners
5 other NPIs on this enrollment
Practice locations: Fitchburg, MA; Leominster, MA; Gardner, MA
O20080923000262 MA Part A Provider - Federally Qualified Health Center (FQHC) 8729074992 Practice locations: Fitchburg, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477580827. Details of each certification follow.

Federally qualified health center certification: CCN 221845

Legal name
COMMUNITY HEALTH CONNECTIONS, INC
Doing business as
FITCHBURG COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 2002
Last certification
Jan 1, 2002
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 16, 1997 in MA
Enrollment address
326 Nichols Rd
Fitchburg, MA 14201914

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Marylou Montalvo Individual Corporate Director Sep 1, 2009
Silas Dobson Individual Corporate Director Sep 1, 2009
Sheila Sykes Individual Corporate Director Sep 1, 2010
Rebecca Fischer Individual Corporate Director Sep 1, 2010
Adrienne McGlone Individual Corporate DirectorBoard Member Aug 27, 2012 100%
Amelia J Spiliotes Individual Corporate Director Sep 1, 2012
Operational/Managerial Control Sep 1, 2012
Emily Macrae Individual Corporate Director Mar 1, 2008
Alan Chuman Individual Corporate Director Sep 1, 2010
John a Demalia Individual Corporate OfficerCeo Sep 2, 2013
Corporate DirectorCeo Sep 2, 2013
Operational/Managerial ControlCeo Sep 2, 2013
Gregg Buckman Individual Corporate DirectorBoard Member Oct 1, 2012 100%
Jane Crocker Individual Corporate Director Mar 1, 2008
Patrick B Lavelle Individual Corporate OfficerCfo Nov 11, 2013
Mary Giannetti Individual Corporate Director Sep 1, 2010
Paul Schiavitti Individual Corporate DirectorBoard Member Oct 1, 2012 100%

Practitioners & affiliated clinicians

Practitioners 148

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 148

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1477580827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100",
            "fax_number": "978-878-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100",
            "fax_number": "978-878-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "DEMALIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "978-878-8510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Connections, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Connections, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.