THUNDERMIST HEALTH CENTER (NPI# 1376708560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376708560 |
| Entity Type | Organization |
| Organization Name | THUNDERMIST HEALTH CENTER |
| Practice Address |
186 Providence St West Warwick RI 02893-2508 |
| Mailing Address |
171 Service Ave Ste 330 Warwick RI 02886-1015 |
| Practice Telephone | 4016152800 |
| Practice Fax Number | 4016152805 |
| Mailing Telephone | 4017674100 |
| Mailing Fax Number | 4012356833 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | CKARLA AGUDELO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4017674100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | ACF01610 | RI | Agencies |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
ACF01610 | RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 4101805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056830 | Thundermist Health Center | Clinic/Center | 450 Clinton St, Woonsocket, RI 02895-3207 | 2020-09-02 |
| 1801152947 | Thundermist Health Center | Community/Behavioral Health | 777 Cass Ave, High School Health Clinic, Woonsocket, RI 02895-4719 | 2012-04-03 |
| 1700041001 | Thundermist Health Center | Community/Behavioral Health | 1 River St, Wakefield, RI 02879-3214 | 2008-07-25 |
| 1457522989 | Thundermist Health Center | Clinic/Center | 25 John A Cummings Way, Woonsocket, RI 02895-3244 | 2008-03-12 |
| 1588691620 | Thundermist Health Center | Peer Specialist | 450 Clinton St, Woonsocket, RI 02895-3207 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THUNDERMIST HEALTH CENTER SOUTH COUNTY | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Street Address |
186 PROVIDENCE ST |
| City | WEST WARWICK |
| State | RI |
| Zip Code | 02893-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071622 | Emily C Harrison | Family Medicine | 186 Providence St, West Warwick, RI 02893-2508 | 2005-11-25 |
| 1306452594 | Pascale A Thomas | Student in an Organized Health Care Education/Training Program | 186 Providence St, West Warwick, RI 02893-2508 | 2020-09-22 |
| 1164037636 | Taylor Leigh Campbell | Registered Nurse | 186 Providence St, West Warwick, RI 02893-2508 | 2020-09-11 |
| 1194338038 | Leanne Myatt | Nurse Practitioner | 186 Providence St, West Warwick, RI 02893-2508 | 2020-08-29 |
| 1962015651 | Latoya Sherron | Social Worker | 186 Providence St, West Warwick, RI 02893-2508 | 2020-08-24 |
| 1043828866 | Jenna S. Venditto | Nurse Practitioner | 186 Providence St, West Warwick, RI 02893-2508 | 2020-07-17 |
| 1548887599 | Danielle Elizabeth Pizzo | Nurse Practitioner | 186 Providence St, West Warwick, RI 02893-2508 | 2020-06-25 |
| 1942826177 | Nathanael Paul Farrelly | Student in an Organized Health Care Education/Training Program | 186 Providence St, West Warwick, RI 02893-2508 | 2020-06-23 |
| 1699391086 | Holly Christine Tindall | Nurse Practitioner | 186 Providence St, West Warwick, RI 02893-2508 | 2020-06-22 |
| 1699301069 | Megan Elizabeth Mcvay | Nurse Practitioner | 186 Providence St, West Warwick, RI 02893-2508 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596012 | Nicholas James Ferro | Social Worker | 125 Providence St Unit N403, West Warwick, RI 02893 | 2017-05-26 |
| 1255636486 | Kathleen Ann Glancy | Registered Nurse | 4 Silverwood Lane, West Warwick, RI 02893 | 2011-01-19 |
| 1659549764 | Kerri Lynn Kyriakakis | Counselor | 1 James P. Murphy Highway, West Warwick, RI 02893 | 2008-02-12 |
| 1962685263 | Granite Harbor Business Development LLC | Point of Service | 1 James P. Murphy Industrial Highway, West Warwick, RI 02893 | 2007-12-10 |
| 1497811707 | Luann M Kelly | Registered Nurse | 37 Washington Street, West Warwick, RI 02893 | 2006-12-29 |
| 1679638530 | Vantage Point | Exclusive Provider Organization | 1 James P Murphy Highway, Suite 103, West Warwick, RI 02893 | 2006-12-22 |
| 1528123478 | Kathleenn Ann Carty | Counselor | 1james P. Murphy Highway, Suite 103, West Warwick, RI 02893 | 2006-12-22 |
| 1972672699 | Lee S Lovitz | Podiatrist | 1193 Tiogue Avenue, Coventry, RI 02893 | 2006-11-07 |
| 1003901497 | Mary Rose | Nurse Practitioner | 186 Providence Street, West Warwick, RI 02893 | 2006-10-03 |
| 1477659795 | Sandra Ann Wheller | Registered Nurse | Kent Center Mtt 2, West Warwick, RI 02893 | 2006-09-15 |
| Find all providers in zip 02893 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WEST WARWICK |
| Zip Code | 02893 |
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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.