East Bay Community Action Program | |
100 Bullocks Point Riverside RI 02915 | |
(401) 437-1008 | |
Not Available |
Full Name | East Bay Community Action Program |
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Speciality | Community/Behavioral Health |
Location | 100 Bullocks Point, Riverside, Rhode Island |
Authorized Official Name and Position | Rilwan Feyisitan (CEO) |
Authorized Official Contact | 4014371000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Bay Community Action Program 100 Bullocks Point Riverside RI 02915 Ph: (401) 437-1008 | East Bay Community Action Program 100 Bullocks Point Riverside RI 02915 Ph: (401) 437-1008 |
NPI Number | 1609239920 |
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Provider Enumeration Date | 04/04/2016 |
Last Update Date | 05/11/2023 |
Certification Date | 05/11/2023 |
Medicare PECOS PAC ID | 1951298595 |
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Medicare Enrollment ID | O20160104000256 |
Identifier | Type | State | Issuer |
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1609239920 | NPI | - | NPPES |
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