NPIMap

Organization Active NPI

Community Health Center of Cape Cod, Inc.

Doing business as Community Health Center of Cape Cod, Sandwich

  • Clinic/Center
  • Sandwich, MA
National Provider Identifier
1649896283
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMMUNITY HEALTH CENTER OF CAPE COD, INC.
Doing business as
Community Health Center of Cape Cod, Sandwich
Practice address
90 Route 6a
Sandwich, MA 02563-5301
Phone
(508) 477-7090
Fax
(508) 477-7028
NPI assigned
Jun 19, 2020
Last updated
Jun 19, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH CENTER OF CAPE COD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Karen L Gardner
Title
Ceo
Phone
(508) 539-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

90 Route 6a
Sandwich, MA 02563-5301

Mailing address

107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 477-7090

Other identifiers 1

IdentifierTypeStateIssuer
110027778MedicaidMA

Other names 1

  • Community Health Center of Cape Cod, Sandwich Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chc.capecod@direct.CHCofCapeCod.masshiway.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026003229 MA Part A Provider - Federally Qualified Health Center (FQHC) 4486699568 Practice locations: Sandwich, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649896283. Details of each certification follow.

Federally qualified health center certification: CCN 221956

Legal name
COMMUNITY HEALTH CENTER OF CAPE COD, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 22, 2021
Last certification
Jan 22, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 4, 1997 in MA
Enrollment address
90 Route 6a
Unit 4C
Sandwich, MA 25635301

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center of Cape Cod Inc11 organizations share this tax ID, including this one
Part of
Community Health Center of Cape Cod Inc

Other organizations with this tax ID 10

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

Locations

90 Route 6A
Sandwich, MA 02563

Interoperability endpoints

  • Direct secure messaging: chc.capecod@direct.chcofcapecod.masshiway.net

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
John Dawley Individual Corporate OfficerVice President Nov 1, 2024
Rudolph Hunter Individual Corporate OfficerTreasurer Nov 1, 2019
David Peterson Individual Corporate OfficerPresident Jan 11, 2012
Karen L Gardner Individual Corporate Director Aug 1, 2003
W-2 Managing EmployeeAd;Ceo Aug 1, 2003
Jeannette Doyle Individual Corporate Director Jan 26, 2023
Jenny Sheehan Individual Corporate OfficerClerk Nov 1, 2025

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1649896283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCIAL ST",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496507",
            "telephone_number": "508-477-7090",
            "fax_number": "508-477-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ROUTE 6A",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025635301",
            "telephone_number": "508-477-7090",
            "fax_number": "508-477-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF CAPE COD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CENTER OF CAPE COD, INC.",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-539-6000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027778",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chc.capecod@direct.CHCofCapeCod.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "MassHiway",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Commercial St",
            "city": "Mashpee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026496507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Health Center of Cape Cod, Sandwich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandwich, MA

Sources for this page

Verify at the official NPI Registry.