Central Health Center | |
239 Cranston St Providence RI 02907-2406 | |
(401) 444-0580 | |
(401) 444-0428 |
Full Name | Central Health Center |
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Speciality | Clinic/Center |
Location | 239 Cranston St, Providence, Rhode Island |
Authorized Official Name and Position | Gregory Young (VICE PRESIDENT/CHIEF FINANCE OFFICE) |
Authorized Official Contact | 4014440400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Central Health Center 375 Allens Ave Providence RI 02905-5010 Ph: (401) 444-0400 | Central Health Center 239 Cranston St Providence RI 02907-2406 Ph: (401) 444-0580 |
NPI Number | 1508868035 |
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Provider Enumeration Date | 08/15/2005 |
Last Update Date | 03/29/2017 |
Medicare PECOS PAC ID | 9335050962 |
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Medicare Enrollment ID | O20030812000065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508868035 | NPI | - | NPPES |
7001361 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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