NORTHWEST COMMUNITY HEALTH CARE (NPI# 1245219070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245219070 |
| Entity Type | Organization |
| Organization Name | NORTHWEST COMMUNITY HEALTH CARE |
| Other Organization Name | WELLONE PRIMARY MEDICAL AND DENTAL CARE |
| Practice Address |
36 Bridge Way Pascoag RI 02859 |
| Mailing Address |
Po Box 312 Pascoag RI 02859 |
| Practice Telephone | 4015670800 |
| Practice Fax Number | 4015670900 |
| Mailing Telephone | 4015670800 |
| Mailing Fax Number | 4015670900 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | DIANE HOPPER (VP OF FINANCE) |
| Authorized Official Telephone | 4015687664 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | ACF01571 | RI | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
ACF01571 | RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NC50602 | 05 |
| Other Name | Type Code |
|---|---|
| WellOne Primary Medical and Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1932478146 | Northwest Community Health Care | Clinic/Center | 14 Rock Ave, Pascoag, RI 02859-0152 | 2011-12-16 |
| 1205105517 | Northwest Community Health Care | Clinic/Center | 181 Davis Dr, Pascoag, RI 02859-3507 | 2011-12-16 |
| 1194002972 | Northwest Community Health Care | Community/Behavioral Health | 1 High Street, Pascoag, RI 02859 | 2011-11-08 |
| 1821254525 | Northwest Community Health Care | Clinic/Center | 142a Danielson Pike, Foster, RI 02825-1475 | 2008-08-01 |
| 1801951397 | Northwest Community Health Care | Clinic/Center | 308 Callahan Rd, N. Kingstown, RI 02852-7739 | 2006-12-26 |
| Street Address |
36 BRIDGE WAY |
| City | PASCOAG |
| State | RI |
| Zip Code | 02859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699311753 | Miryam Amelia Boucher | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-11-25 |
| 1699335059 | Jessica Wood | Specialist/Technologist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-06-18 |
| 1477048098 | Ashleigh Nicole Graley | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-06-26 |
| 1275032476 | Alice Mui | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-02-03 |
| 1942721246 | Leslie Bumpus | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2017-06-28 |
| 1275932311 | Sarah C. Gulla | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-14 |
| 1194134601 | Khantil R Shah | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-08 |
| 1235548371 | Stephanie Pinto | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-02 |
| 1700291861 | Kendra Crotty | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-06-27 |
| 1407154552 | Michael John Brunell | Physician Assistant | 36 Bridge Way, Pascoag, RI 02859-3131 | 2011-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397763 | Patricia Scuncio | Physical Therapy Assistant | 252 Donahue Road, Pascoag, RI 02859 | 2014-08-28 |
| 1134479520 | Kimberly Mary Cote | Social Worker | 2078 Wallum Lake Rd., Pascoag, RI 02859 | 2012-09-13 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1427243682 | Julie A. Vander Schel | Counselor | 2076 Wallum Lake Road, Pascoag, RI 02859 | 2007-09-11 |
| 1699985226 | Donna Watson | Counselor | 2198 Wallum Lake Rd., Pascoag, RI 02859 | 2007-05-23 |
| 1194817197 | Purvi Chokshi | Internal Medicine | 2090 Wallum Lake Road, Pascoag, RI 02859 | 2006-09-28 |
| 1659395622 | Dennis Edward Joyce | Counselor | 2198 Wallum Lake Road, Pascoag, RI 02859 | 2006-07-26 |
| 1427087782 | Robert James Brothers | Counselor | 2198 Wallum Lake Rd, Pascoag, RI 02859 | 2006-06-30 |
| 1194002972 | Northwest Community Health Care | Community/Behavioral Health | 1 High Street, Pascoag, RI 02859 | 2011-11-08 |
| Find all providers in zip 02859 | ||||
| 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 |
|---|---|---|---|---|
| 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.