| The Providence Community Health Centers, Inc | |
|
1 Randall Sq Providence RI 02904-2709 | |
| (401) 274-6339 | |
| (401) 453-6290 |
| Full Name | The Providence Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Randall Sq, Providence, Rhode Island |
| Authorized Official Name and Position | Brenda Charpentier (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4017802511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Providence Community Health Centers, Inc 375 Allens Ave Providence RI 02905-5010 Ph: (401) 780-2511 | The Providence Community Health Centers, Inc 1 Randall Sq Providence RI 02904-2709 Ph: (401) 274-6339 |
| NPI Number | 1083138572 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/27/2017 |
| Medicare PECOS PAC ID | 9335050962 |
|---|---|
| Medicare Enrollment ID | O20170816001365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083138572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | ACF01515-01 (Rhode Island) | Primary |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |
The Providence Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 | |
Barrington Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 | |
Hallworth House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |