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CH01083V EDWARD M KENNEDY COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
EDWARD M KENNEDY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Framingham Community Health Center 354 Waverly Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010102
340B ID
CH01083V
Grant Number
H80CS00465
Additional Details
Current Program Status
Active
Registration Date
12/8/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/8/2006
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
Edward M. Kennedy Community Health Center
Stephen J. Kerrigan, President and CEO
(508) 854-2122 Ext: 5085327311
Primary Contact
Edward M. Kennedy Community Health Center
Roberlyne Pezanetti, COO
(508) 270-5751
Addresses
Street Address
354 Waverly St
Framingham, MA 01702-7079
Billing Address
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC.
115 Northeast Cutoff
Building 2; Suite 200
Worcester, MA 01606
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/8/11 UPDATED ENTITY NAME (WAS GREAT BROOK VALLEY HEALTH CENTER), UPDATE BILL TO ADD (WAS 19 TACOMA ST)
02/09/2011
May 2025
May 2025
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