COMPREHENSIVE COMMUNITY ACTION, INC (NPI# 1659845451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659845451 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE COMMUNITY ACTION, INC |
| Practice Address |
30 Howard Ave Cranston RI 02920-3031 |
| Mailing Address |
311 Doric Ave Cranston RI 02910-2903 |
| Practice Telephone | 4014679610 |
| Mailing Telephone | 4015628305 |
| Mailing Fax Number | 4014679030 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | GINA E EUBANK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4015628305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9000471 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609253335 | Comprehensive Community Action, Inc | Clinic/Center | 2756 Post Rd Ste 103, Warwick, RI 02886-3003 | 2015-05-01 |
| 1770849259 | Comprehensive Community Action, Inc | Community/Behavioral Health | 311 Doric Ave, Cranston, RI 02910-2903 | 2012-04-09 |
| 1750647228 | Comprehensive Community Action, Inc | Clinic/Center | 226 Buttonwoods Ave, Warwick, RI 02886-7541 | 2012-04-09 |
| 1609132513 | Comprehensive Community Action, Inc | Clinic/Center | 191 Macarthur Blvd, Coventry, RI 02816-7244 | 2012-04-04 |
| Street Address |
30 HOWARD AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| 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 |
|---|---|---|---|---|
| 1366441719 | Comprehensive Community Action, Inc. | Clinic/Center | 1090 Cranston St, Cranston, RI 02920-7323 | 2005-07-19 |
| 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 | ||||
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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.