COMPREHENSIVE COMMUNITY ACTION, INC. (NPI# 1366441719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366441719 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE COMMUNITY ACTION, INC. |
Other Organization Name | FAMILY HEALTH SERVICES |
Practice Address |
1090 Cranston St Cranston RI 02920-7323 |
Mailing Address |
311 Doric Ave Cranston RI 02910-2903 |
Practice Telephone | 4019431981 |
Practice Fax Number | 4019432846 |
Mailing Telephone | 4014610511 |
Mailing Fax Number | 4014679030 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2008-01-09 |
Authorized Official Name | MR. KEVIN SCOTT COTE (FINANCE DIRECTOR) |
Authorized Official Telephone | 4014610511 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
1502 | RI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9000471 | 05 |
Other Name | Type Code |
---|---|
Family Health Services | Doing Business As Name - Organization |
Street Address |
1090 CRANSTON ST |
City | CRANSTON |
State | RI |
Zip Code | 02920-7323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841833266 | Cindy Rojas | Social Worker | 1090 Cranston St, Cranston, RI 02920-7323 | 2019-10-18 |
1871147553 | Angela Langley | Nurse Practitioner | 1090 Cranston St, Cranston, RI 02920-7323 | 2019-07-30 |
1083276224 | Zachary Kyle Greene | Dentist | 1090 Cranston St, Cranston, RI 02920-7323 | 2019-07-08 |
1891206678 | Sofia Irons | Social Worker | 1090 Cranston St, Cranston, RI 02920-7323 | 2017-10-19 |
1811374820 | Wendy Gayle Mote | Nurse Practitioner | 1090 Cranston St, Cranston, RI 02920 | 2015-04-28 |
1710386651 | Swalika Patel | Dentist | 1090 Cranston St, Cranston, RI 02920-7323 | 2014-08-16 |
1710396106 | Snehal Lakhkar | Dentist | 1090 Cranston St, First Floor, Cranston, RI 02920-7323 | 2014-08-11 |
1134487994 | Madhav Shrirao | Dentist | 1090 Cranston St, Ccap Dental Services, First Floor, Cranston, RI 02920-7323 | 2012-04-30 |
1699096040 | Bethany Irene Kronberg | Dentist | 1090 Cranston St, Cranston, RI 02920-7323 | 2010-06-21 |
1447583794 | Yamila Cos | Dentist | 1090 Cranston St, Cranston, RI 02920-7323 | 2009-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
Find all providers in zip 02920 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1003362864 | Northwest Community Health Care | Clinic/Center | 35 Village Plaza Way, 1-53 Village Plaza Way, Units 12 & 13, Scituate, RI 02857-1849 | 2016-08-31 |
1760532451 | Narragansett Indian Tribe | Clinic/Center | 51 Old Mill Rd, Charlestown, RI 02813-3322 | 2007-01-12 |
1861439705 | East Bay Community Action Program | Clinic/Center | 19 Broadway, Newport, RI 02840-2937 | 2006-05-31 |
1174576342 | The Providence Community Health Centers, Inc. | Clinic/Center | 1 Warren Way, Providence, RI 02905-5000 | 2006-05-18 |
1821090358 | The Providence Community Health Centers, Inc. | Clinic/Center | 100 Curtis St, Providence, RI 02909-3623 | 2005-08-15 |
1295737666 | The Providence Community Health Centers, Inc. | Clinic/Center | 325 Public St, Providence, RI 02905-2340 | 2005-08-15 |
1669474102 | The Providence Community Health Centers, Inc. | Clinic/Center | 40 Candace St, Providence, RI 02908-3747 | 2005-08-15 |
1053313593 | The Providence Community Health Centers, Inc | Clinic/Center | 375 Allens Ave, Providence, RI 02905-5010 | 2005-08-15 |
1508868035 | The Providence Community Health Centers, Inc. | Clinic/Center | 239 Cranston St, Providence, RI 02907-2406 | 2005-08-15 |
1417959867 | The Providence Community Health Centers, Inc | Clinic/Center | 355 Prairie Ave, Providence, RI 02905-5010 | 2005-08-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.