FALLON COMMUNITY HEALTH PLAN
FALLON COMMUNITY HEALTH PLAN is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1376696674, based in Worcester, MA. It is classified under PACE Provider Organization.
Getting there
The practice address on file is 277 E MOUNTAIN ST, Worcester, MA 01606. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1803247 | MA | PACE Provider Organization primary |
This provider holds licence 1803247 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 0547677189
- Enrollment ID
- O20210329000950
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Program of All-Inclusive Care for the Elderly (PACE) Provider Organization covers
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. NUCC Health Care Provider Taxonomy, code 251T00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1376696674 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 19, 2007 |
| Last updated | Aug 22, 2020 |
| Status | Active |
| Practice address |
277 E MOUNTAIN ST Worcester, MA 01606 (508) 852-2026 Fax (508) 856-7130 |
| Mailing address |
10 CHESTNUT ST Worcester, MA 01608 |
| Other identifiers |
1803247
· Medicaid (MA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 6 | 9 | 6 | 6 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 3 | 9 | 3 | 6 | 5 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.