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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pascoag, Rhode Island. The current practice location for is 36 Bridge Way, Pascoag, Rhode Island. For appointments, you can reach them via phone at (401) 567-0800. The mailing address for is Po Box 312, Pascoag, Rhode Island and phone number is (401) 567-0800.

is licensed to practice in Rhode Island (license number ACF01571). The clinic also participates in the medicare program and its NPI number is 1245219070. 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) 567-0800.

Contact Information


	36 Bridge Way Pascoag RI 02859
	(401) 567-0800
	(401) 567-0900

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	36 Bridge Way, Pascoag, Rhode Island
Authorized Official Name and Position	Diane Hopper (VP OF FINANCE)
Authorized Official Contact	4015687664
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 312 Pascoag RI 02859 Ph: (401) 567-0800	36 Bridge Way Pascoag RI 02859 Ph: (401) 567-0800

NPI Details:

NPI Number	1245219070
Provider Enumeration Date	01/11/2006
Last Update Date	06/01/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	1355250663
Medicare Enrollment ID	O20030312000015

Medical Identifiers

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

Identifier	Type	State	Issuer
1245219070	NPI	-	NPPES
NC50602	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	ACF01571 (Rhode Island)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	ACF01571 (Rhode Island)	Primary

Reviews and Comments

Clinic/Center in Pascoag, RI

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Davis Dr, Pascoag, RI 02859 Phone: 401-568-0600 Fax: 401-568-3080
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S. Main Street, Pascoag, RI 02859 Phone: 401-568-3091 Fax: 401-568-8070
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Rock Ave, Pascoag, RI 02859 Phone: 401-568-2549 Fax: 401-568-6085

- Medicare Primary Care in Pascoag, RI