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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CONNECTIONS, INC.

MEDICARE: COMMUNITY HEALTH CONNECTIONS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/CenterMA
2261QC1500XCommunity Health Clinic/Center30214981NH
3261QF0400XFederally Qualified Health Center (FQHC)4L4LMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285630533
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CONNECTIONS, INC.
Provider Business Mailing Address
First Line : 326 NICHOLS ROAD
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-1914
Country : US
Telephone Number : 978-878-8100
Fax Number : 978-878-8418
Provider Business Practice Location Address
First Line : 175 CONNORS STREET
Second Line :
City : GARDNER
State : MA
Zip : 01440-2637
Country : US
Telephone Number : 978-410-6100
Fax Number : 978-410-6109
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MR. JOHN A DEMALIA
Credential :
Telephone Number : 978-878-8510
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/24/2022

Similar Medicare Providers

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Practice Location Address:
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01440-2637
Practice Phone: 978-410-6100
Practice Fax:
1861453912 — MRS. RACHAEL BROW PA-C
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1205067279 — CASIE HURD SHORT PA-C
Practice Location Address:
175 CONNORS ST
GARDNER, MA
01440-2637
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Practice Fax:
1235455486 — DR. RONALD MAGEMBE D.D.S
Practice Location Address:
175 CONNORS ST
GARDNER, MA
01440-2637
Practice Phone: 978-410-6100
Practice Fax:
1932441532 — PAULINE V. SAUNDERS PA-C
Practice Location Address:
175 CONNORS ST
GARDNER, MA
01440-2637
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Practice Fax: 978-410-6109
1801217799 — KAREM SALAZAR LAZO DDS
Practice Location Address:
175 CONNORS ST
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01440-2637
Practice Phone: 978-410-6100
Practice Fax: 978-410-6176

Directions to “COMMUNITY HEALTH CONNECTIONS, INC. ” Practice Location

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