Great Brook Valley Health Center – Federally Qualified Health Center (FQHC), NPI 1154600344

Great Brook Valley Health Center is a healthcare provider. based in Worcester, Massachusetts. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Great Brook Valley Health Center is 1154600344

Main info

Organization
Name
Great Brook Valley Health Center
NPI
1154600344
Phone
(508) 854-2122
Address
650 LINCOLN ST
Authorized Official
MR. STEPHEN J KERRIGAN PRESIDENT/CEO
Enumeration Date
5 August 2011
Last Update Date
25 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Great Brook Valley Health Center

  • 650 LINCOLN ST

    WORCESTER, MA 016052060

    Phone: (508) 854-2122

    Fax: (508) 853-8593

    Type: Mailing

  • 115 NE CUTOFF STE 200

    WORCESTER, MA 016061224

    Phone: (508) 854-2122

    Fax: (508) 853-8593

    Type: Mailing

  • 354 WAVERLY ST

    FRAMINGHAM, MA 017027079

    Phone: (508) 370-0113

    Fax: (508) 370-3637

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120627000005OFederally Qualified Health Center (Fqhc)MATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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Reviews

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Frequently asked questions

Can I use this page to confirm Great Brook Valley Health Center's NPI?
Yes. Great Brook Valley Health Center is listed with NPI 1154600344 in the public NPI dataset.
Is Great Brook Valley Health Center still practicing?
Great Brook Valley Health Center is currently listed as active in the public NPI registry.
What is Great Brook Valley Health Center's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for Great Brook Valley Health Center here. Clinical services aligned with this taxonomy classification.
Does Great Brook Valley Health Center list a practice location?
Patients near Worcester, Massachusetts may find Great Brook Valley Health Center in results; validate coverage separately.
Why does Great Brook Valley Health Center have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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