| Comprehensive Community Action, Inc | |
|
311 Doric Ave Cranston RI 02910-2903 | |
| (401) 467-9610 | |
| Not Available |
| Full Name | Comprehensive Community Action, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 311 Doric Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Kevin S Cote (FINANCE DIRECTOR) |
| Authorized Official Contact | 4015622250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Community Action, Inc 311 Doric Ave Cranston RI 02910-2903 Ph: (401) 467-9610 | Comprehensive Community Action, Inc 311 Doric Ave Cranston RI 02910-2903 Ph: (401) 467-9610 |
| NPI Number | 1770849259 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0749176055 |
|---|---|
| Medicare Enrollment ID | O20140610000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770849259 | NPI | - | NPPES |
| 9000471 | Medicaid | RI | |
| 709000471 | Other | MEDICARE OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1502 (Rhode Island) | Primary |
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