MEDICARE: HOLYOKE HEALTH CENTER 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
1	261QF0400X	Federally Qualified Health Center (FQHC)
2	261QC1500X	Community Health Clinic/Center	4118	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1518948595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLYOKE HEALTH CENTER INC.

Provider Business Mailing Address
First Line	:	PO BOX 6260
Second Line	:
City	:	HOLYOKE
State	:	MA
Zip	:	01041-6260
Country	:	US
Telephone Number	:	413-420-2222
Fax Number	:	413-592-2324

Provider Business Practice Location Address
First Line	:	505 FRONT STREET
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01013-1246
Country	:	US
Telephone Number	:	413-420-2222
Fax Number	:	413-592-2324

Authorized Official
Title or Position	:	CFO
Name	:	REGINA BOK
Credential	:
Telephone Number	:	413-420-2123

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	12/16/2025

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