Organization · Type 2 NPI
The Providence Community Health Centers, Inc.
Federally Qualified Health Center (FQHC) · Providence, RI
NPI number
1477545549
Active
Practice location
355R Prairie Ave, Suite 3
Providence, RI 02905-1961
Fax (401) 444-0489
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1477545549
The Providence Community Health Centers, Inc.'s National Provider Identifier is 1477545549, issued on Aug 16, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Providence, RI. The record was last updated on Dec 5, 2024.