| Chafee Health Center | |
|
1 Warren Way Providence RI 02905-5000 | |
| (401) 444-0530 | |
| (401) 444-0423 |
| Full Name | Chafee Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Warren Way, Providence, Rhode Island |
| Authorized Official Name and Position | Gregory Young (VICE PRESIDENT/CHIEF FINANCIAL OFFI) |
| Authorized Official Contact | 4014440400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chafee Health Center 375 Allens Ave Providence RI 02905-5010 Ph: (401) 444-0400 | Chafee Health Center 1 Warren Way Providence RI 02905-5000 Ph: (401) 444-0530 |
| NPI Number | 1174576342 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 9335050962 |
|---|---|
| Medicare Enrollment ID | O20060911000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174576342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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