CHP NORTH ADAMS FAMILY MEDICINE
NPI 1194195206
Clinic/Center - Community Health in North Adams, MA

NPI Status: Active since October 01, 2015

Contact Information

CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER
71 HOSPITAL AVENUE. FLOOR 3
NORTH ADAMS, MA
ZIP 01247
Phone: (413) 664-4088
Fax: (413) 663-6405

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 22D2112153
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 04-24-2026

About CHP NORTH ADAMS FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Chp North Adams Family Medicine, a primary care provider established in North Adams, Massachusetts operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1194195206 assigned on October 2015. The practitioner's primary taxonomy code is 261QC1500X with license number 4COJ (MA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Chp North Adams Family Medicine. The authorized official of this NPI record is Karen Johnson (Chief Human Resources And Complian)

NPI
1194195206
Provider Legal Name
COMMUNITY HEALTH PROGRAMS
Other Organization Name
CHP NORTH ADAMS FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER 71 HOSPITAL AVENUE. FLOOR 3 NORTH ADAMS, MA 01247
Location Phone
(413) 664-4088
Location Fax
(413) 663-6405
Mailing Address
P.O. BOX 30 GREAT BARRINGTON, MA 01230
Mailing Phone
(413) 528-9311
Mailing Fax
(413) 663-6405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2015
Last Update Date
03-30-2023
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A primary care provider (PCP) like Chp North Adams Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
License No.
4COJ
License State
MA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 
2261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

4COJ (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN JOHNSON

Authorized Official Title
CHIEF HUMAN RESOURCES AND COMPLIAN
Authorized Official Phone
(413) 528-9311

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110028131NMEDICAID (05)MA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2112153
Facility Type
Federally Qualified Health Center
Certificate Effective Date
April 25, 2024
Certificate Expiration Date
April 24, 2026
Laboratory Director
DR. GIRO SAMALE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chp North Adams Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194195206
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184291020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 9 + 1 + 0 + 2 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1194195206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194195206, enumerated in the NPI registry as an "organization" on October 01, 2015

The provider is located at Chp North Adams Family Medical And Dental Center 71 Hospital Avenue. Floor 3 North Adams, Ma 01247 and the phone number is (413) 664-4088

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 22D2112153 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 01, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.