THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC. (NPI# 1821090358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821090358 |
Entity Type | Organization |
Organization Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC. |
Other Organization Name | OLNEYVILLE HEALTH CENTER |
Practice Address |
100 Curtis St Providence RI 02909-3623 |
Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
Practice Telephone | 4014440540 |
Practice Fax Number | 4014440424 |
Mailing Telephone | 4014440400 |
Mailing Fax Number | 4014440468 |
Enumeration Date | 2005-08-15 |
Last Update Date | 2017-04-11 |
Authorized Official Name | MR. GREGORY YOUNG (VP/CFO) |
Authorized Official Telephone | 4014440400 |
Authorized Official Credential | VP/CFO |
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 |
Other Name | Type Code |
---|---|
Olneyville 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 |
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 |
1508868035 | The Providence Community Health Centers, Inc. | Clinic/Center | 239 Cranston St, Providence, RI 02907-2406 | 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 |
100 CURTIS ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02909-3623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104370360 | Ekknoor K. Sahota | Internal Medicine | 100 Curtis St, Providence, RI 02909 | 2016-08-05 |
1710309349 | Oluseyi G Abioye-akanji | Nurse Practitioner | 100 Curtis St, Providence, RI 02909-3623 | 2014-01-16 |
1316381205 | Desirae D Heys | Nurse Practitioner | 100 Curtis St, Providence, RI 02909-3623 | 2013-04-22 |
1093026700 | Erick Rolando Soria Galvarro Duran | Internal Medicine | 100 Curtis St, Providence, RI 02909-3623 | 2010-06-28 |
1871778936 | Jessica Salak | Obstetrics & Gynecology | 100 Curtis St, Providence, RI 02909-3623 | 2008-01-08 |
1114909017 | Lonice M Thomas | Pediatrics | 100 Curtis St, Providence, RI 02909-3623 | 2005-11-16 |
1568453413 | Mary Padbury | Nurse Practitioner | 100 Curtis St, Providence, RI 02909-3623 | 2005-10-31 |
1265423271 | Paul Henry Laurence | Nurse Practitioner | 100 Curtis St, Providence, RI 02909-3623 | 2005-10-31 |
1881687481 | Pervez A Khatib | Family Medicine | 100 Curtis St, Providence, RI 02909-3623 | 2005-08-30 |
1508859109 | Karen Y Ng | Family Medicine | 100 Curtis St, Olneyville Health Center, Providence, RI 02909-3623 | 2005-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
Find all providers in zip 02909 |
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 |
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 |
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 | 02909 |
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.