THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC. (NPI# 1508868035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508868035 |
Entity Type | Organization |
Organization Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC. |
Other Organization Name | CENTRAL HEALTH CENTER |
Practice Address |
239 Cranston St Providence RI 02907-2406 |
Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
Practice Telephone | 4014440580 |
Practice Fax Number | 4014440428 |
Mailing Telephone | 4014440400 |
Mailing Fax Number | 4014440468 |
Enumeration Date | 2005-08-15 |
Last Update Date | 2017-03-29 |
Authorized Official Name | MR. GREGORY YOUNG (VICE PRESIDENT/CHIEF FINANCE OFFICE) |
Authorized Official Telephone | 4014440400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 7001361 | 05 |
Other Name | Type Code |
---|---|
Central Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669596367 | The Providence Community Health Centers, Inc. | Clinic/Center | 85 A Chad Brown Street, Providence, RI 02908 | 2007-03-19 |
1174576342 | The Providence Community Health Centers, Inc. | Clinic/Center | 1 Warren Way, Providence, RI 02905-5000 | 2006-05-18 |
1477545549 | The Providence Community Health Centers, Inc. | Clinic/Center | 355r Prairie Ave, Suite 3, Providence, RI 02905-1961 | 2005-08-16 |
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 |
1215478219 | The Providence Community Health Centers, Inc. | Clinic/Center | 335 Prairie Ave, Providence, RI 02905-1924 | 2017-03-10 |
1821120924 | The Providence Community Health Centers, Inc. | Clinic/Center | 160 Broad St, Providence, RI 02903-4028 | 2007-03-12 |
1891775128 | The Providence Community Health Centers, Inc. | Community/Behavioral Health | 375 Allens Ave, Providence, RI 02905-5010 | 2006-01-20 |
Street Address |
239 CRANSTON ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02907-2406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174174825 | Elizabeth C. Bogus | Social Worker | 239 Cranston St, Providence, RI 02907-2406 | 2019-09-24 |
1194178558 | Mofoluso O Agbelese | Nurse Practitioner | 239 Cranston St, Providence, RI 02907-2406 | 2016-07-20 |
1720488000 | Mehattie Dorsey | Registered Nurse | 239 Cranston St, Providence, RI 02907-2406 | 2014-08-25 |
1184966608 | Nadine Sonali Hewamudalige | Family Medicine | 239 Cranston St, Providence, RI 02907-2406 | 2013-03-22 |
1932455946 | Willy A Salas Sanchez | Internal Medicine | 239 Cranston St, Providence, RI 02907-2406 | 2012-07-27 |
1558621359 | Claudia A Clarke | Internal Medicine | 239 Cranston St, Providence, RI 02907 | 2012-05-25 |
1598072621 | Sharon M Philbin | Nurse Practitioner | 239 Cranston St, Providence, RI 02907-2406 | 2010-09-10 |
1902118821 | Shalini Solanki | Family Medicine | 239 Cranston St, Providence, RI 02907-2406 | 2010-07-08 |
1528205549 | Ruth J Wartenberg | Social Worker | 239 Cranston St, Providence, RI 02907-2406 | 2009-01-13 |
1265624274 | Jennifer R Sunderland | Advanced Practice Midwife | 239 Cranston St, Providence, RI 02907-2406 | 2007-08-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
Find all providers in zip 02907 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1417959867 | The Providence Community Health Centers, Inc | Clinic/Center | 355 Prairie Ave, Providence, RI 02905-5010 | 2005-08-15 |
1083138572 | The Providence Community Health Centers, Inc | Clinic/Center | 1 Randall Sq, Providence, RI 02904-2709 | 2017-07-27 |
1215478219 | The Providence Community Health Centers, Inc. | Clinic/Center | 335 Prairie Ave, Providence, RI 02905-1924 | 2017-03-10 |
1649546938 | Bear Lake Community Health Centers | Clinic/Center | 517 W 100 N Ste 110, Providence, UT 84332-9826 | 2012-03-30 |
1558650986 | The Providence Community Health Centers Inc. | Clinic/Center | 530 N Main St, Providence, RI 02904-5762 | 2011-04-06 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02907 |
Please comment or provide details below to improve the information on THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC..
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.