CHARLES RIVER COMMUNITY HEALTH, INC
NPI 1114175916
Clinic/Center - Federally Qualified Health Center (FQHC) in Brighton, MA

Q: What is Charles River Community Health, Inc's NPI number?

The NPI number for Charles River Community Health, Inc is 1114175916. It was assigned to this organization in the NPPES registry on September 4, 2008. The provider is doing business as Charles River Community Health. The provider was formerly known as Joseph M. Smith Community Health Center, Inc.

Q: What is Charles River Community Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 04, 2008CLIA 22D0717740 · Microscopy

495 WESTERN AVE, BRIGHTON, MA 02135(617) 783-0500 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2026, Dec 3, 2015 (2 updates tracked since 2015).

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About Charles River Community Health, Inc NPPES

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

CHARLES RIVER COMMUNITY HEALTH, INC (NPI 1114175916), doing business as Charles River Community Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Brighton, Massachusetts and active in the NPI registry since September 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Matthew Lockwood Mullaney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114175916

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHARLES RIVER COMMUNITY HEALTH, INC

Location Address495 WESTERN AVEBrighton, MA 02135-1007

Mailing Address495 Western AveBrighton, MA 02135-1007 · (617) 783-0500

Phone(617) 783-0500

Organization SubpartNo

Authorized OfficialMatthew Lockwood MullaneyCeo · (781) 400-6221

Enumeration DateSeptember 4, 2008

Last NPPES UpdateMay 15, 20262 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1114175916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

495 WESTERN AVE, Brighton, MA 02135

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Other Names 2

Doing Business AsCharles River Community Health

Former Legal Business NameJoseph M. Smith Community Health Center, Inc

Other Identifiers 1

Medicaid110024306GMA

CLIA Laboratory Certificates CMS CLIA

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) 22D0717740

Charles River Community Health Inc · Brighton, MA

Active · expires Aug 31, 2026

CLIA Number22D0717740

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Mark R. Drews

Laboratory Phone(617) 783-0500

Laboratory LocationCharles River Community Health Inc495 Western Avenue, Brighton, MA 02135

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.

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.

DR. ELIZABETH IRENE MOLINA ORTIZ MD

Family Medicine