NPIMap

Organization Active NPI

Family Health Center of Worcester, Inc.

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
National Provider Identifier
1780183913
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
420 Grafton St
Worcester, MA 01604-3802
Phone
(508) 796-7037
NPI assigned
Feb 2, 2018
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTER OF WORCESTER, INCAs 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

420 Grafton St
Worcester, MA 01604-3802

Mailing address

26 Queen Street
Credentialing-Medical Services
Worcester, MA 01610-2473
Phone (508) 860-7962

Other identifiers 1

IdentifierTypeStateIssuer
110020639BMedicaidMA

Other names 1

  • Worcester East Middle School-School Based Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family HLTH and Soc Ser10 organizations share this tax ID, including this one
Part of
Family HLTH and Soc Ser

Other organizations with this tax ID 9

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

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1780183913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEEN STREET",
            "address_2": "CREDENTIALING-MEDICAL SERVICES",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7962",
            "fax_number": "508-860-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043802",
            "telephone_number": "508-796-7037"
        }
    ],
    "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": "2018-02-02",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020639B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worcester East Middle School-School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Worcester East Middle School-School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.