NPIMap

Organization Active NPI

Family Health Center of Worcester, Inc

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
National Provider Identifier
1558530246
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
Practice address
23 N Ashland St
Worcester, MA 01609-3041
Phone
(508) 754-2860
NPI assigned
Feb 27, 2008
Last updated
May 27, 2022By the provider in NPPES
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

23 N Ashland St
Worcester, MA 01609-3041

Mailing address

23 N Ashland St
Worcester, MA 01609-3041
Phone (508) 754-2860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001380 MA Part B Supplier - Clinic/Group Practice 4789670985 Receives reassigned benefits from 108 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worcester, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558530246. Details of each certification follow.

  • CCN 221910 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 221910

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HELEN B BOWDITCH HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 17, 2012
Last certification
Jul 17, 2012
Ownership / control type
For profit – corporation
Facility address
23 North Ashland Street
Worcester, MA 01609

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Family Health Center of Worcester Inc

Locations

23 N Ashland St
Worcester, MA 01609
Phone (508) 754-2860

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 6

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1558530246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N ASHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093041",
            "telephone_number": "508-754-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N ASHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093041",
            "telephone_number": "508-754-2860"
        }
    ],
    "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": "2008-02-27",
        "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": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.