Active NPI
Outer Cape Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Provincetown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 4963
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damian K. Archer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110027866A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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
- Corporation
- 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).
-
- Federally Qualified Health Center (FQHC)
- Harwich Port, MA
- NPI 1255629747
4385554971
-
- Federally Qualified Health Center (FQHC)
- Wellfleet, MA
- NPI 1578726790
4385554971
-
- Federally Qualified Health Center (FQHC)
- Wellfleet, MA
- NPI 1114774445
4385554971
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Harwich Port, MA
- NPI 1255629747
O20050407000226
-
- Federally Qualified Health Center (FQHC)
- Wellfleet, MA
- NPI 1578726790
O20030514000014, O20050407000226
-
- Federally Qualified Health Center (FQHC)
- Wellfleet, MA
- NPI 1114774445
O20050407000226
-
dba Outer Cape Health Urgent Care
- Urgent Care Clinic/Center
- Provincetown, MA
- NPI 1831467430
O20030514000014, O20030514000022, O20050407000226
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patti Stoll | Corporate Director | Jan 1, 2022 | |
| Kass Goodwin | Corporate Director | Jan 1, 2019 | |
| Corporate Director | Jan 1, 2023 | ||
| Marta (Dikke) Hansen | Corporate Director | Jan 1, 2022 | |
| Barry McLaughlin | Corporate Director | Jan 1, 2023 | |
| Cyndi Williams | Corporate Director | Jan 1, 2023 | |
| Barbara a. Penn | Corporate Director | Jan 1, 2022 | |
| Larry Ballentine | Corporate Director | Jan 1, 2018 | |
| Corporate Director | Jan 1, 2019 | ||
| Alton Chun | Corporate Director | Jan 1, 2023 | |
| Patti Hartsfield | Corporate Director | Jan 1, 2019 | |
| Michael Peterson | Corporate Director | Jan 1, 2019 | |
| Peter Epstein | Corporate Director | Jan 1, 2023 | |
| Damian Archer | Corporate Officer | Jan 1, 2024 | |
| W-2 Managing Employee | Jan 1, 2024 | ||
| Operational/Managerial Control | Jan 1, 2024 | ||
| Angelica Chilaka | Corporate Director | 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.
-
- Family Medicine Physician
- Harwich Port, MA
- NPI 1699921866
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
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.
-
- Registered Nurse
- Provincetown, MA
- NPI 1679134902
-
- Family Medicine Physician
- Harwich Port, MA
- NPI 1699921866
-
- Endocrinology, Diabetes & Metabolism Physician
- Harwich Port, MA
- NPI 1629352869
-
- Obstetrics & Gynecology Physician
- Provincetown, MA
- NPI 1912974973
-
- Social Worker
- Welfleet, MA
- NPI 1053987974
-
- Psychiatric/Mental Health Nurse Practitioner
- Provincetown, MA
- NPI 1649988973
-
- Family Medicine Physician
- Wellfleet, MA
- NPI 1437118213
-
- Psychiatric/Mental Health Nurse Practitioner
- Harwich Port, MA
- NPI 1043196751
-
- Family Medicine Physician
- Provincetown, MA
- NPI 1871747188
-
- Internal Medicine Physician
- Harwich Port, MA
- NPI 1093880411
-
- Family Nurse Practitioner
- Provincetown, MA
- NPI 1285415463
-
- Primary Care Nurse Practitioner
- Harwich Port, MA
- NPI 1861064768
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
- Brian O'Malley, M.D.
- Maryanne O'Toole, NP
- Outer Cape Health Services Inc (Provincetown Outer Cape Pharmacy)
- Outer Cape Health Services, Inc. (Outer Cape Health Services Dental)
- Outer Cape Health Services, Inc. (Outer Cape Health Urgent Care)
- Andrew K Palmer, MD
- Monica Teresa Paz, DDS
- Edith Pels, LIC. AC.
- Stanley De Oliveira Pimenta, DDS
- Narcis Sebastian Popita
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.