Organization · Type 2 NPI
The Providence Community Health Centers, Inc.
Federally Qualified Health Center (FQHC) · Providence, RI
NPI number
1669596367
Active
Practice location
85 A Chad Brown Street
Providence, RI 02908
Fax (401) 831-5953
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | ACF01611 (RI) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1669596367
The Providence Community Health Centers, Inc.'s National Provider Identifier is 1669596367, issued on Mar 19, 2007. 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.