NPI 1376696674
Fallon Community Health Plan
Practice location
- Address
- 277 E Mountain St, Worcester, MA 01606-1207
- Phone
- (508) 852-2026
- Fax
- (508) 856-7130
- Mailing address
- 10 Chestnut St, Worcester, MA 01608-2898
Authorised official
- Name
- Charles Goheen
- Title
- Chief Financial Officer
- Phone
- (508) 368-9499
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1376696674
- Entity type
- Organization
- NPI issued
- 19 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.