1649408899 NPI number — COMMUNITY HEALTH PROGRAMS

Table of content: (NPI 1649408899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649408899 NPI number — COMMUNITY HEALTH PROGRAMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY HEALTH PROGRAMS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CHP NEIGHBORHOOD HEALTH CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649408899
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 30
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREAT BARRINGTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-528-9311
Provider Business Mailing Address Fax Number:
413-644-0274

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHP NEIGHBORHOOD HEALTH CENTER
Provider Second Line Business Practice Location Address:
510 NORTH STREET. SUITE 1
Provider Business Practice Location Address City Name:
PITTSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-447-2351
Provider Business Practice Location Address Fax Number:
413-445-7009
Provider Enumeration Date:
06/26/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF HUMAN RESOURCES AND COMPLIANC
Authorized Official Telephone Number:
413-528-9311

Provider Taxonomy Codes

  • Taxonomy code: 261QC1500X , with the licence number:  4COJ , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X , with the licence number: 4COJ , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)