| The Providence Community Health Centers, Inc | |
|
31 Atwood Street Atwood Health Center Providence RI 02909 | |
| (401) 444-0590 | |
| (401) 396-2084 |
| Full Name | The Providence Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 Atwood Street, 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 31 Atwood Street Atwood Health Center Providence RI 02909 Ph: (401) 444-0590 |
| NPI Number | 1558017319 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 9335050962 |
|---|---|
| Medicare Enrollment ID | O20220425000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558017319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | |
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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 | |
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