NORTH SHORE COMMUNITY HEALTH, INC (NPI# 1710233572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710233572 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE COMMUNITY HEALTH, INC |
| Other Organization Name | GLOUCESTER FAMILY HEALTH CENTER |
| Practice Address |
302 Washington St Gloucester MA 01930-4836 |
| Mailing Address |
27 Congress St Suite 103 Salem MA 01970-7309 |
| Practice Telephone | 9782828899 |
| Practice Fax Number | 9782360290 |
| Mailing Telephone | 9787448388 |
| Mailing Fax Number | 9787440079 |
| Enumeration Date | 2012-07-31 |
| 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 |
|---|---|
| Gloucester Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588910384 | North Shore Community Health, Inc | Clinic/Center | 47 Congress St, Salem, MA 01970-7308 | 2012-07-30 |
| 1124373022 | North Shore Community Health, Inc | Clinic/Center | 89 Foster St, Peabody, MA 01960-8925 | 2012-07-17 |
| 1366582090 | North Shore Community Health, Inc | Clinic/Center | 27 Congress St, Salem, MA 01970-7309 | 2007-02-08 |
| Street Address |
302 WASHINGTON ST |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966974 | Yenilda Garcia Filpo | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2016-12-13 |
| 1225580400 | Margaret Juliann Biggins | Physician Assistant | 302 Washington St, Gloucester, MA 01930-4836 | 2016-11-03 |
| 1700127263 | Emily Ann Doucette | Nurse Practitioner | 302 Washington St, Gloucester, MA 01930 | 2013-03-08 |
| 1306140280 | Ellen S Reece | Nurse Practitioner | 302 Washington St, Gloucester, MA 01930-4836 | 2011-01-06 |
| 1295049211 | Yan Sun | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2010-08-02 |
| 1396975777 | Harbpinder Deep | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2009-07-21 |
| 1568670123 | Kevin Ross Rubnich | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2007-05-18 |
| 1184785479 | Maureen L Gebhardt | Counselor | 302 Washington St, Gloucester, MA 01930-4836 | 2006-12-12 |
| 1942383138 | Stephen Kulcsar | Family Medicine | 302 Washington St, Gloucester, MA 01930-4836 | 2006-10-23 |
| 1598793382 | Northeast Medical Practice | Specialist | 302 Washington St, Gloucester, MA 01930-4836 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
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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.