THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. (NPI# 1558650986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558650986 |
| Entity Type | Organization |
| Organization Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Other Organization Name | NORTH MAIN |
| Practice Address |
530 N Main St Providence RI 02904-5762 |
| Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
| Practice Telephone | 4014159500 |
| Practice Fax Number | 4014159515 |
| Mailing Telephone | 4014440400 |
| Mailing Fax Number | 4014440468 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MR. GREGORY YOUNG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4014440400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
ACF01609 | RI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Main | Other Name - Individual/Organization |
| Street Address |
530 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-5762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379410 | Michael Alan Silver | Psychiatry & Neurology | 530 N Main St, Providence, RI 02904-5762 | 2005-07-14 |
| 1447859954 | Melissa Ann Casto | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-10-26 |
| 1972119972 | Jessica L Tulli | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-09-16 |
| 1033724554 | Jessie Brooks | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-09-11 |
| 1790396935 | Mellissa Rose Lacroix Dwyer | Social Worker | 530 N Main St, Providence, RI 02904-5762 | 2020-08-12 |
| 1184242406 | Alyssa Rose Carroll | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-07-13 |
| 1972122364 | Katelyn R Agnew | Nurse Practitioner | 530 N Main St, Providence, RI 02904-5762 | 2020-04-15 |
| 1114555489 | Michelle Marie O'rourke | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-03-31 |
| 1639705916 | Alice Eyo | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-03-18 |
| 1154954964 | Pamela Robinson | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| 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 |
| 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 |
| 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 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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.