| Chad Brown Health Center | |
|
285a Chad Brown St Providence RI 02908-3102 | |
| (401) 274-6339 | |
| (401) 453-6290 |
| Full Name | Chad Brown Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 285a Chad Brown St, Providence, Rhode Island |
| Authorized Official Name and Position | Nancy Clancy (FINANCE) |
| Authorized Official Contact | 4012746339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Brown Health Center 10 Orms St Ste 110 Providence RI 02904-7814 Ph: (401) 453-0666 | Chad Brown Health Center 285a Chad Brown St Providence RI 02908-3102 Ph: (401) 274-6339 |
| NPI Number | 1053443911 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053443911 | NPI | - | NPPES |
| 451-2 | Other | RI | GROUP BS NUMBER |
| 9000451 | Medicaid | RI | |
| 0181 | Other | RI | NEIBORHOOD HEALTH GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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