| Comprehensive Community Action, Inc | |
|
30 Howard Ave Cranston RI 02920-3031 | |
| (401) 467-9610 | |
| Not Available |
| Full Name | Comprehensive Community Action, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 30 Howard Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Justine Sands (CFO) |
| Authorized Official Contact | 4015622249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Community Action, Inc 311 Doric Ave Cranston RI 02910-2903 Ph: (401) 562-8305 | Comprehensive Community Action, Inc 30 Howard Ave Cranston RI 02920-3031 Ph: (401) 467-9610 |
| NPI Number | 1659845451 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659845451 | NPI | - | NPPES |
| 9000471 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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