NPIMap

Organization Active NPI

Community Health Connections, Inc.

Doing business as ACTION Health Services

  • Federally Qualified Health Center (FQHC)
  • Fitchburg, MA
National Provider Identifier
1811149586
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
4L4L Issued in MA
Legal business name
COMMUNITY HEALTH CONNECTIONS, INC.
Doing business as
ACTION Health Services
Practice address
130 Water Street
Fitchburg, MA 01420-1914
Phone
(978) 878-8100
Fax
(978) 878-8537
NPI assigned
Oct 14, 2008
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH CONNECTIONS, INC.As reported in NPPES

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4L4L MA Primary

Addresses

Primary practice location

130 Water Street
Fitchburg, MA 01420-1914

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
M21400OtherMAMEDICARE
110028187EMedicaidMA

Other names 1

  • ACTION Health Services 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
This NPI is an additional NPI on the enrollment
Practice locations: Fitchburg, MA; Leominster, MA; Gardner, MA
O20180202001433 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 1811149586. Details of each certification follow.

Federally qualified health center certification: CCN 221948

Legal name
COMMUNITY HEALTH CONNECTIONS, INC
Doing business as
ACTION HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 23, 2018
Last certification
Mar 23, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 9, 1999 in MA
Enrollment address
130 Water St
Ste 4
Fitchburg, MA 14205478

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
Tax ID family
Community Health Connections3 organizations share this tax ID, including this one
Part of
Community Health Connections

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Melissa Maranda Individual Corporate DirectorBoard Member Mar 15, 2011
Emily Macrae Individual Corporate DirectorBoard Member Mar 28, 2016
Cindy Cadoret Individual Corporate DirectorBoard Member Oct 23, 2017
John a Demalia Individual Corporate OfficerCeo Sep 2, 2013
Irene Hernandez Individual Corporate DirectorBoard Member Oct 23, 2017
Jane Crocker Individual Corporate DirectorBoard Member Mar 23, 2015
Patrick B Lavelle Individual Corporate OfficerCfo Nov 11, 2013
W-2 Managing EmployeeCfo Nov 11, 2013
Roderick W Lewin Individual Corporate DirectorBoard Member Oct 23, 2017

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1811149586",
    "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": "130 WATER STREET",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100",
            "fax_number": "978-878-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CONNECTIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CONNECTIONS, INC.",
        "enumeration_date": "2008-10-14",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4L4L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M21400",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110028187E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTION Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.