| Community Health Programs | |
|
Chp Dental Mobile Unit 444 Stockbridge Road. Gt Barrington MA 01230 | |
| (413) 528-9311 | |
| Not Available |
| Full Name | Community Health Programs |
|---|---|
| Speciality | Dentist |
| Location | Chp Dental Mobile Unit, Gt Barrington, Massachusetts |
| Authorized Official Name and Position | Tom Walbridge (EXECUTIVE PRESIDENT.CHIEF FINANCIAL) |
| Authorized Official Contact | 4135289311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Programs Po Box 30 Great Barrington MA 01230 Ph: (413) 528-9311 | Community Health Programs Chp Dental Mobile Unit 444 Stockbridge Road. Gt Barrington MA 01230 Ph: (413) 528-9311 |
| NPI Number | 1558130302 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558130302 | NPI | - | NPPES |
| 110028131B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |