| Tri-county Health Center | |
|
33 Maple St North Providence RI 02911-2415 | |
| (401) 351-2750 | |
| (401) 351-6611 |
| Full Name | Tri-county Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Maple St, North Providence, Rhode Island |
| Authorized Official Name and Position | Joseph R. Desantis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4015191967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Health Center 1126 Hartford Ave Johnston RI 02919-7109 Ph: (401) 351-2750 | Tri-county Health Center 33 Maple St North Providence RI 02911-2415 Ph: (401) 351-2750 |
| NPI Number | 1912328600 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 0648171181 |
|---|---|
| Medicare Enrollment ID | O20140403000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912328600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Rhode Island) | Primary |
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