CHARLES RIVER COMMUNITY HEALTH, INC (NPI# 1487664884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487664884 |
| Entity Type | Organization |
| Organization Name | CHARLES RIVER COMMUNITY HEALTH, INC |
| Other Organization Name | JOSEPH M. SMITH COMMUNITY HEALTH CENTER, INC |
| Practice Address |
495 Western Ave Brighton MA 02135-1007 |
| Practice Telephone | 6177830500 |
| Practice Fax Number | 6179878222 |
| Mailing Telephone | 6177830500 |
| Mailing Fax Number | 6179878222 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | MS. ELIZABETH BROWNE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6172081511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4157 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 682536 | 01 |
| MA | BCBS MEDICAL/PODIATRY | M12043 | 01 |
| MA | 1301446 | 05 | |
| MA | BCBS | 2227002110 | 01 |
| MA | TUFTS HEALTH PLAN | 686893 | 01 |
| MA | TUFTS HEALTH PLAN | 903699 | 01 |
| MA | BCBS OPTOMETRY | W20419 | 01 |
| Other Name | Type Code |
|---|---|
| Joseph M. Smith Community Health Center, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134306368 | Charles River Community Health, Inc | Clinic/Center | 30 Athol St, Allston, MA 02134-1124 | 2008-01-30 |
| 1750486106 | Charles River Community Health, Inc | Clinic/Center | 43 Foundry Ave, Waltham, MA 02453-8313 | 2006-09-13 |
| 1295068559 | Charles River Community Health, Inc | Pharmacy | 495 Western Ave, Brighton, MA 02135-1007 | 2009-09-17 |
| 1114175916 | Charles River Community Health, Inc | Clinic/Center | 495 Western Ave, Brighton, MA 02135-1007 | 2008-09-04 |
| 1225215452 | Charles River Community Health, Inc | Clinic/Center | 40 Armington St, Allston, MA 02134-2406 | 2008-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHARLES RIVER COMMUNITY HEALTH, INC. | 495 Western Ave, Boston, MA 02135-1007 |
| Street Address |
495 WESTERN AVE |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834858 | Olga Mclellan | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2020-02-29 |
| 1558927624 | Michael Frank Arroyo | Technician/Technologist | 495 Western Ave, Brighton, MA 02135-1007 | 2019-05-14 |
| 1447814066 | Maria Jose Mora | Dentist | 495 Western Ave, Brighton, MA 02135-1007 | 2019-04-29 |
| 1063990950 | Lisa Ngu | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2018-08-01 |
| 1669969143 | Jennifer Hyde | Technician/Technologist | 495 Western Ave, Brighton, MA 02135-1007 | 2018-04-19 |
| 1649797911 | Mary Christine Rowan | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2017-08-27 |
| 1386170025 | Eric Joshua Miller | Dentist | 495 Western Ave, Brighton, MA 02135-1007 | 2017-05-01 |
| 1730624537 | Dennis Cabral | Technician/Technologist | 495 Western Ave, Brighton, MA 02135-1007 | 2017-01-03 |
| 1891241816 | Charles River Community Health Inc | Pharmacy | 495 Western Ave, Brighton, MA 02135-1007 | 2016-08-30 |
| 1104370345 | Amy Hanson | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1114175916 | Charles River Community Health, Inc | Clinic/Center | 495 Western Ave, Brighton, MA 02135-1007 | 2008-09-04 |
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| 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 |
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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.