| Blackstone Valley Community Health Care, Inc. | |
|
9 Chestnut St Central Falls RI 02863-2005 | |
| (401) 722-0081 | |
| (401) 724-2109 |
| Full Name | Blackstone Valley Community Health Care, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9 Chestnut St, Central Falls, Rhode Island |
| Authorized Official Name and Position | Raymond J. Lavoie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4017290080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackstone Valley Community Health Care, Inc. 42 Park Pl Pawtucket RI 02860-4010 Ph: (401) 729-0080 | Blackstone Valley Community Health Care, Inc. 9 Chestnut St Central Falls RI 02863-2005 Ph: (401) 722-0081 |
| NPI Number | 1275847766 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275847766 | NPI | - | NPPES |
| BV01759 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | ACF01528 (Rhode Island) | Primary |
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