NORTH SHORE COMMUNITY HEALTH, INC (NPI# 1124373022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124373022 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE COMMUNITY HEALTH, INC |
| Other Organization Name | PEABODY FAMILY HEALTH CENTER |
| Practice Address |
89 Foster St Peabody MA 01960-8925 |
| Mailing Address |
27 Congress St Suite 103 Salem MA 01970-7309 |
| Practice Telephone | 9785324903 |
| Practice Fax Number | 9785324995 |
| Mailing Telephone | 9787448388 |
| Mailing Fax Number | 9787440079 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | MARGARET BRENNAN (CEO) |
| Authorized Official Telephone | 9788251109 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH SHORE COMMUNITY HEALTH, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4M9K | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Peabody Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710233572 | North Shore Community Health, Inc | Clinic/Center | 302 Washington St, Gloucester, MA 01930-4836 | 2012-07-31 |
| 1588910384 | North Shore Community Health, Inc | Clinic/Center | 47 Congress St, Salem, MA 01970-7308 | 2012-07-30 |
| 1366582090 | North Shore Community Health, Inc | Clinic/Center | 27 Congress St, Salem, MA 01970-7309 | 2007-02-08 |
| Street Address |
89 FOSTER ST |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718773 | Paul Frederick Forte | Dentist | 89 Foster St, Peabody, MA 01960-8925 | 2005-11-29 |
| 1396256749 | Lynne M Wholley | Dental Hygienist | 89 Foster St, Peabody, MA 01960-8925 | 2017-10-12 |
| 1699921866 | Damian Kelvin Luther Archer | Family Medicine | 89 Foster St, Peabody, MA 01960-8925 | 2008-08-07 |
| 1255370243 | Azra J Ali | Family Medicine | 89 Foster St, Peabody, MA 01960-8925 | 2006-06-05 |
| 1760458772 | David William Toth | Internal Medicine | 89 Foster St, Peabody, MA 01960-8925 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1780183913 | Family Health Center of Worcester, Inc. | Clinic/Center | 420 Grafton St, Worcester, MA 01604-3802 | 2018-02-02 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
| 1497148407 | Brockton Neighborhood Health Center | Clinic/Center | 158 Pleasant Street, Brockton, MA 02301 | 2015-03-16 |
| 1053729426 | Community Health Connections, Inc. | Clinic/Center | 140 Arnhow Farm Road, Fitchburg, MA 01420-1369 | 2014-07-29 |
| 1689092595 | Lowell Community Health Center, Inc. | Clinic/Center | 101 Jackson St, Lowell, MA 01852-2103 | 2014-03-29 |
| 1912272899 | Community Health Programs, Inc | Clinic/Center | 19 Depot Street, Adams, MA 01220 | 2012-03-12 |
| 1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
| 1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.