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 | Kevin Cabral (CFO) |
Authorized Official Contact | 4014440400 |
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) 444-0400 | 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 | 12/05/2024 |
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 | |
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 | |