Healthcare Provider Details

I. General information

NPI: 1750337333
Provider Name (Legal Business Name): COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/02/2025
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 NEW ATHOL RD
ORANGE MA
01364-9603
US

IV. Provider business mailing address

102 MAIN ST
GREENFIELD MA
01301-3275
US

V. Phone/Fax

Practice location:
  • Phone: 978-544-7800
  • Fax:
Mailing address:
  • Phone: 413-325-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number48ZB
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number48ZB
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number48ZB
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number48ZB
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number48ZB
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number48ZB
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number48ZB
License Number StateMA

VIII. Authorized Official

Name: MRS. ALLISON VANDERVELDEN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 413-325-8500