NPIMap

Organization Active NPI

Community Health Connections, Inc.

Doing business as Leominster Community Health Connections

  • Federally Qualified Health Center (FQHC)
  • Leominster, MA
National Provider Identifier
1891953048
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CONNECTIONS, INC.
Doing business as
Leominster Community Health Connections
Practice address
14 Manning Avenue
Leominster, MA 01453-5768
Phone
(978) 847-0110
Fax
(978) 847-0112
NPI assigned
May 23, 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 MA Primary

Addresses

Primary practice location

14 Manning Avenue
Leominster, MA 01453-5768

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
M21400OtherMAMEDICARE
1304780MedicaidMA
221893OtherWIMEDICARE UGS

Other names 1

  • Leominster Community Health Connections Doing business as

Medicare participation

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

Enrollment records 1

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

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
Part of
Christen Cage MD

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1891953048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 NICHOLS ROAD",
            "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": "14 MANNING AVENUE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535768",
            "telephone_number": "978-847-0110",
            "fax_number": "978-847-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CONNECTIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CONNECTIONS, INC.",
        "enumeration_date": "2008-05-23",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M21400",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304780",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UGS",
            "identifier": "221893",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leominster Community Health Connections",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leominster Community Health Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.