1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Pharmacy
  6. NPI Profile

EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
NPI 1013048347
Pharmacy - Clinic Pharmacy in Worcester, MA

Active since March 08, 2007CLIA Certified · 3 labs
19 TACOMA ST, WORCESTER, MA 01605(508) 854-2128(508) 595-1127 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward M. Kennedy Community Health Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC (NPI 1013048347), doing business as Great Brook Valley Health Center, Inc, is a healthcare organization registered as a clinic pharmacy in Worcester, Massachusetts and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates and lists Stephen J Kerrigan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1013048347
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Location Address19 TACOMA STWorcester, MA 01605-3516
Mailing Address650 Lincoln StWorcester, MA 01605-2060 · (508) 854-2122 · Fax (508) 853-8593
Phone(508) 854-2128
Fax(508) 595-1127
Organization SubpartYes
Authorized OfficialStephen J KerriganPresident & Ceo · (508) 854-2122
Enumeration DateMarch 8, 2007
Last NPPES UpdateNovember 27, 2019
✔ NPI 1013048347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in MA · 495
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
19 TACOMA ST, Worcester, MA 01605
Open in Google Maps ↗

Other Names 1

Former Legal Business NameGreat Brook Valley Health Center, Inc

Other Identifiers 2

Medicaid0443891MA
Medicaid110022061AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0069727

Edward M Kennedy Community Health Center · Worcester, MA
Active · expires Aug 16, 2027
CLIA Number22D0069727
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorPablo I. Hernandez
Laboratory Phone(508) 854-2122
Laboratory LocationEdward M Kennedy Community Health Center19 Tacoma St, Worcester, MA 01605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 22D0907998

Edward M Kennedy Community Health Center Burncoat Middle And Senior High School · Worcester, MA
Active · expires Feb 13, 2028
CLIA Number22D0907998
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorDr. Pablo Hernandez
Laboratory Phone(508) 854-2122
Laboratory LocationEdward M Kennedy Community Health Center Burncoat Middle And Senior High School135 Burncoat Street, Worcester, MA 01606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D2285029

Edward M Kennedy Community Health Cener, Inc · Worcester, MA
Active · expires Jul 4, 2027
CLIA Number22D2285029
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorDr. Pablo Hernandez-Itriago
Laboratory Phone(508) 854-2122
Laboratory LocationEdward M Kennedy Community Health Cener, Inc605 Lincoln St, Worcester, MA 01605
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D1057103

Edward M Kennedy Community Health Center Inc · Framingham, MA
Expired · Aug 2, 2026
CLIA Number22D1057103
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorPablo Itriago Hernandez
Laboratory Phone(508) 854-2122
Laboratory LocationEdward M Kennedy Community Health Center Inc354 Waverly Street, Framingham, MA 01702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE WALTON
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
STEFANIA M PERALTA RN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
BETHANY IRISH RN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
MERCEDES DINORAH LOPEZ LPN
Licensed Practical Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
DR. DANA DELDOTTO PHARMD
Pharmacist
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 595-1181
NICHOLAS ADAM YOAKUM PA-C
Physician Assistant
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
KAITLIN SOUTHERN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
DANIEL DE LIMA PSYCHOTHERAPIST
Counselor (Mental Health)
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward M. Kennedy Community Health Center, Inc's NPI number?

The NPI number for Edward M. Kennedy Community Health Center, Inc is 1013048347. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider was formerly known as Great Brook Valley Health Center, Inc.

Where is Edward M. Kennedy Community Health Center, Inc located?

Edward M. Kennedy Community Health Center, Inc is located at 19 Tacoma St, Worcester, MA 01605. The listed phone number is (508) 854-2128.

What is Edward M. Kennedy Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Edward M. Kennedy Community Health Center, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Edward M. Kennedy Community Health Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Edward M. Kennedy Community Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward M. Kennedy Community Health Center, Inc was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.