OrganizationActive
Charles River Community Health, Inc
NPI 1750486106 · Federally Qualified Health Center (FQHC) · Waltham, MA
Provider details
- NPI number
- 1750486106
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Lockwood Mullaney, Ceo(617) 783-0500
- License
- 4157 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
43 Foundry Ave Ste 110
Waltham, MA 02453-8313
Phone: (781) 693-3800
Fax: (781) 693-3817
Approximate (ZIP-level) locationGet directions
Mailing address
495 Western Ave
Brighton, MA 02135-1007
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.