<unavail> in Providence, RI - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Providence, Rhode Island. The current practice location for is 530 N Main St, Providence, Rhode Island. For appointments, you can reach them via phone at (401) 415-9500. The mailing address for is 375 Allens Ave, Providence, Rhode Island and phone number is (401) 444-0400.

is licensed to practice in Rhode Island (license number ACF01609). The clinic also participates in the medicare program and its NPI number is 1558650986. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 415-9500.

Contact Information


	530 N Main St Providence RI 02904-5762
	(401) 415-9500
	(401) 415-9515

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	530 N Main St, Providence, Rhode Island
Authorized Official Name and Position	Kevin Cabral (CFO)
Authorized Official Contact	4014440400
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
375 Allens Ave Providence RI 02905-5010 Ph: (401) 444-0400	530 N Main St Providence RI 02904-5762 Ph: (401) 415-9500

NPI Details:

NPI Number	1558650986
Provider Enumeration Date	04/06/2011
Last Update Date	12/05/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	9335050962
Medicare Enrollment ID	O20110719000179

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558650986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	ACF01609 (Rhode Island)	Primary

Reviews and Comments

Clinic/Center in Providence, RI

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505

- Medicare Primary Care in Providence, RI