Community Health Care, Inc.
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Westfield, MA
NPI 1912980251 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1912980251
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- COMMUNITY HEALTH CARE, INC.
- Practice address
- 130 Southampton Rd
Westfield, MA 01085-1370 - Phone
- (413) 568-6600
- Fax
- (413) 562-8360
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Practitioners 226
-
Michelle Aristil, NURSE
-
Sean Bourgeoise, MA
-
Lisa Ann Burr, RN
-
Gary B Cole, M.D.
-
Katherine Anne Krauskopf, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2141306 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141309 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141327 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141331 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141333 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141334 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141338 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141341 | Community Health Care Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141344 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2141355 | Community Health Care, Inc | Certificate of waiver | Dec 11, 2027 |
| 22D2170621 | Community Health Care, Inc | Certificate of waiver | Aug 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200601001202 | MA | Part B Supplier - Opioid Treatment Program (Otp) | 4880976463 | Practice locations: Westfield, MA; Woburn, MA; Peabody, MA; Northampton, MA; New Bedford, MA; Jamaica Plain, MA; Greenfield, MA; Chicopee, MA… |
National Provider Directory
Locations
177 Shelburne Rd
Greenfield, MA 01301
Phone (413) 485-1306
125 N Elm St
Westfield, MA 01085
Phone (413) 568-6600
130 Southampton Rd
Westfield, MA 01085
Phone (413) 568-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Addiction (Substance Use Disorder) Registered Nurse |
163WA0400X | |||
| Licensed Practical Nurse |
164W00000X | |||
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | |||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
130 Southampton Rd
Westfield, MA 01085-1370
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300
Other practice location 1
9 Forbes Rd
DBA HCRC Woburn
Woburn, MA 01801-2103
Phone (781) 838-6757
Other practice location 2
50 Miles St
Greenfield, MA 01301-3241
Phone (413) 774-3321
Other practice location 3
172 Newbury St
DBA HCRC Peabody
Peabody, MA 01960-2405
Phone (978) 535-9190
Other practice location 4
628 Center St
Chicopee, MA 01013-1589
Phone (413) 746-0051
Other practice location 5
170 Morton St
Jamaica Plain, MA 02130-3735
Phone (617) 541-3670
Other practice location 6
8 Kilburn St
New Bedford, MA 02740-7321
Phone (508) 979-1122
Other practice location 7
441 Pleasant St
Northampton, MA 01060-2576
Phone (413) 584-2404
Other practice location 8
23 N Main St
Attleboro, MA 02703-2217
Phone (413) 568-6600
Other practice location 9
23 Bradston St
Boston, MA 02118-2703
Phone (617) 318-6480
Other practice location 10
175 Crescent Ave
Chelsea, MA 02150-3009
Phone (617) 889-8779
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028022F | Medicaid | MA | |
| 110028022H | Medicaid | MA | |
| 110028022B | Medicaid | MA | |
| 110028022A | Medicaid | MA | |
| 110028022D | Medicaid | MA | |
| 1307185 | Medicaid | MA | |
| 110028022C | Medicaid | MA | |
| 110028022G | Medicaid | MA | |
| 110028022E | Medicaid | MA |
Other names
- Health Care Resource Centers
Other providers in Westfield, MA
- Heather Marie Colon
- Julissa Colon
- Lorin Elizabeth Colucci
- Marie Comeaux
- Community Chiro, PC
- Community Physicians P.C.
- Comprehensive Cardiac Care
- Comprehensive Cardiac Care LLC
- Elisabeth Nolan Compton
- Megan Conroy
All providers in Westfield, MA · Substance Use Disorder Rehabilitation Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.