Organization Active NPI

Outer Cape Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Provincetown, MA
National Provider Identifier
1841384013
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4963 Issued in MA
Legal business name
OUTER CAPE HEALTH SERVICES, INC.
Practice address
49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone
(508) 487-9395
Fax
(508) 487-6298
NPI assigned
Oct 3, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Damian K. Archer, MDNPI 1699921866
Title
Ceo
Phone
(978) 432-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4963 MA Primary

Addresses

Primary practice location

49 Harry Kemp Way
Provincetown, MA 02657-1618

Mailing address

PO Box 2796
Orleans, MA 02653-6796
Phone (508) 487-9395

Other identifiers 1

IdentifierTypeStateIssuer
110027866AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030514000014 MA Part A Provider - Federally Qualified Health Center (FQHC) 4385554971 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wellfleet, MA
O20030514000022 MA Part A Provider - Federally Qualified Health Center (FQHC) 4385554971 1 other NPI on this enrollment
Practice locations: Provincetown, MA
O20050407000226 MA Part B Supplier - Clinic/Group Practice 4385554971 Receives reassigned benefits from 58 practitioners
4 other NPIs on this enrollment
Practice locations: Harwich Port, MA; Provincetown, MA; Wellfleet, MA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1841384013. Details of each certification follow.

Federally qualified health center certification: CCN 221802

Legal name
OUTER CAPE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1972 in MA
Enrollment address
3130 State Hwy Rte 6
Wellfleet, MA 26677402

Federally qualified health center certification: CCN 221807

Legal name
OUTER CAPE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1972 in MA
Enrollment address
49 Harry Kemp Way
Provincetown, MA 26571618

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 4

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 13

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

NameRoleSinceShare
Patti Stoll Individual Corporate DirectorBoard Member Jan 1, 2022
Kass Goodwin Individual Corporate DirectorBoard Member Jan 1, 2019
Corporate DirectorBoard Member Jan 1, 2023
Marta (Dikke) Hansen Individual Corporate DirectorBoard Member Jan 1, 2022
Barry McLaughlin Individual Corporate DirectorBoard Member Jan 1, 2023
Cyndi Williams Individual Corporate DirectorBoard Member Jan 1, 2023
Barbara a. Penn Individual Corporate DirectorBoard Member Jan 1, 2022
Larry Ballentine Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate DirectorBoard Member Jan 1, 2019
Alton Chun Individual Corporate DirectorBoard Member Jan 1, 2023
Patti Hartsfield Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Peterson Individual Corporate DirectorBoard Member Jan 1, 2019
Peter Epstein Individual Corporate DirectorBoard Member Jan 1, 2023
Damian Archer Individual Corporate OfficerCeo Jan 1, 2024
W-2 Managing EmployeeCeo Jan 1, 2024
Operational/Managerial ControlCeo Jan 1, 2024
Angelica Chilaka Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 60

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 60

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1841384013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2796",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026536796",
            "telephone_number": "508-487-9395",
            "fax_number": "508-487-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HARRY KEMP WAY",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571618",
            "telephone_number": "508-487-9395",
            "fax_number": "508-487-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER CAPE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-432-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027866A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provincetown, MA

Sources for this page

Verify at the official NPI Registry.