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: October 18, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward M. Kennedy Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

147

Medicare enrollment records show 147 clinicians reassign Medicare billing to Edward M. Kennedy Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 45 practice at this address and 75 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner60
Family Practice24
Optometry20
Pediatric Medicine8
Clinical Social Worker7
Clinical Psychologist6
Internal Medicine6
Psychiatry4
9 other specialties12

Nearest to this location (20)

See all 147
Internal Medicine
NPI 1245617638
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568801397
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOSSame address
Nurse Practitioner
NPI 1063970234
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831157791
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669842175
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1689638991
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114902038
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326701749
19 TACOMA ST
Worcester, MA 01605
(508) 532-7331
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689920993
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306807409
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487043972
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1780930271
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1205890449
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1407097157
19 TACOMA ST
Worcester, MA 01605
(508) 595-0750
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1659426229
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1427014851
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOSSame address
19 TACOMA ST
Worcester, MA 01605
(508) 854-2122
✔ PECOSSame address
Mental Health Counselor
NPI 1972711570
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1437475290
19 TACOMA ST
Worcester, MA 01605
(508) 852-1805
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1528616398
19 TACOMA ST # 2
Worcester, MA 01605
(845) 282-5154
✔ PECOS✔ Accepts MedicareSame address
See all 147 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Edward M. Kennedy Community Health Center, Inc enrolled in Medicare?

Yes. Edward M. Kennedy Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edward M. Kennedy Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 147 clinicians in 17 Medicare specialties reassign their Medicare billing to Edward M. Kennedy Community Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (60), Family Practice (24) and Optometry (20). Of these, 45 practice at this address and 75 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from Anthem Blue Cross and Blue Sheld, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.