NPIMap

Organization Active NPI

Charles River Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Waltham, MA
National Provider Identifier
1972021061
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHARLES RIVER COMMUNITY HEALTH INC
Practice address
43 Foundry Ave
Waltham, MA 02453-8313
Phone
(617) 783-0500
NPI assigned
Sep 8, 2017
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Matthew Lockwood Mullaney
Title
Ceo
Phone
(781) 400-6221

Specialties & licenses 1

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

Addresses

Primary practice location

43 Foundry Ave
Waltham, MA 02453-8313

Mailing address

495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500

National Provider Directory

National Provider Directory
Tax ID family
JM Smith Community Heal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

43 Foundry Ave
Waltham, MA 02453
Phone (781) 693-3800

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1972021061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WESTERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351007",
            "telephone_number": "617-783-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 FOUNDRY AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538313",
            "telephone_number": "617-783-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES RIVER COMMUNITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD MULLANEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-400-6221"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.