| Comprehensive Community Action, Inc | |
|
206 Buttonwoods Ave Warwick RI 02886-7541 | |
| (401) 732-9090 | |
| (401) 732-2790 |
| Full Name | Comprehensive Community Action, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 Buttonwoods Ave, Warwick, Rhode Island |
| Authorized Official Name and Position | Justine Sands (CFO) |
| Authorized Official Contact | 4015622249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Community Action, Inc 311 Doric Ave Cranston RI 02910-2903 Ph: () - | Comprehensive Community Action, Inc 206 Buttonwoods Ave Warwick RI 02886-7541 Ph: (401) 732-9090 |
| NPI Number | 1750647228 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0749176055 |
|---|---|
| Medicare Enrollment ID | O20050321000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750647228 | NPI | - | NPPES |
| 9000471 | Medicaid | RI | |
| 709000471 | Other | RI | MEDICARE OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1502 (Rhode Island) | Primary |
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