Healthcare Provider Details

I. General information

NPI: 1457300329
Provider Name (Legal Business Name): COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 03/22/2024
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MAIN ST
GREENFIELD MA
01301-3224
US

IV. Provider business mailing address

102 MAIN ST
GREENFIELD MA
01301-3224
US

V. Phone/Fax

Practice location:
  • Phone: 413-325-8500
  • Fax: 413-774-3072
Mailing address:
  • Phone: 413-325-8500
  • Fax: 413-774-3072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateMA
# 6
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLISON VAN DER VELDEN
Title or Position: CEO
Credential:
Phone: 413-325-8500