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EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
NPI 1609842152
Clinic/Center - Federally Qualified Health Center (FQHC) in Worcester, MA

Active since February 24, 2006
19 TACOMA ST, WORCESTER, MA 01605(508) 852-1805(508) 854-3248 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, Jan 25, 2023, Nov 27, 2019 (3 updates tracked since 2019).

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 1609842152), doing business as Great Brook Valley Health Center, Inc, is a healthcare organization registered as a federally qualified health center (fqhc) in Worcester, Massachusetts and active in the NPI registry since February 2006. The organization lists Stephen J. Kerrigan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1609842152
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Location Address19 TACOMA STWorcester, MA 01605-3516
Mailing Address115 Ne Cutoff Ste 200Worcester, MA 01606-1224 · (508) 854-2122 · Fax (508) 853-8593
Phone(508) 852-1805
Fax(508) 854-3248
Organization SubpartYes
Authorized OfficialStephen J. KerriganPresident & Ceo · (508) 854-2122
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJanuary 31, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1609842152 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
License✔ Licensed in MA · 4039
19 TACOMA ST, Worcester, MA 01605
Open in Google Maps ↗

Other Names 1

Former Legal Business NameGreat Brook Valley Health Center, Inc

Other Identifiers 5

Medicaid0443891MA
Medicaid1301071MA
Medicaid110022061BMA
Medicaid1320858MA
OtherY10100MA · Bcbs Of Ma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

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
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Pharmacy (Clinic Pharmacy)
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 854-2128
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

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 1609842152. It was assigned to this organization in the NPPES registry on February 24, 2006. 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) 852-1805.

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

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

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

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and UnitedHealthcare 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 January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.