EAST BAY COMMUNITY ACTION PROGRAM (NPI# 1861439705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861439705 |
Entity Type | Organization |
Organization Name | EAST BAY COMMUNITY ACTION PROGRAM |
Practice Address |
19 Broadway Newport RI 02840-2937 |
Practice Telephone | 4018486697 |
Practice Fax Number | 4018476220 |
Mailing Telephone | 4018486697 |
Mailing Fax Number | 4018476220 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2008-09-09 |
Authorized Official Name | MR. DENNIS ROY (CEO) |
Authorized Official Telephone | 4018486697 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
01520 | RI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | EB51407 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
1609239920 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point, Riverside, RI 02915 | 2016-04-04 |
1609925122 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point Ave, Riverside, RI 02915-5351 | 2007-01-10 |
Street Address |
19 BROADWAY |
City | NEWPORT |
State | RI |
Zip Code | 02840-2937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104279546 | Jasma Patel | Dentist | 19 Broadway, Newport, RI 02840-2937 | 2016-07-21 |
1689074916 | Sara Phillips | Dentist | 19 Broadway, Newport, RI 02840-2937 | 2014-08-22 |
1114138773 | East Bay Communtiy Action Program | Community/Behavioral Health | 19 Broadway, Newport, RI 02840-2937 | 2007-05-25 |
1154447712 | Jeanne Marie Henry | Nurse Practitioner | 19 Broadway, Newport, RI 02840-2937 | 2007-03-22 |
1881611390 | Stacey Lynn Jacobs | Dentist | 19 Broadway, Newport, RI 02840-2937 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
Find all providers in zip 02840 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1417174657 | Rural Medical Services, Inc. | Clinic/Center | 613 W Broadway, Newport, TN 37821-9032 | 2007-04-19 |
1255392957 | Arcare | Clinic/Center | 114 Ray St, Newport, AR 72112-4260 | 2006-03-31 |
1659885093 | Hamilton Health Center, Inc | Clinic/Center | 46 Red Hill Ct, Newport, PA 17074-8706 | 2017-11-21 |
1477835601 | Cherokee Health Systems | Clinic/Center | 320 8th St, Newport, TN 37821-3902 | 2011-09-14 |
1306141502 | Sebasticook Family Doctors | Clinic/Center | 71 Elm St, Newport, ME 04953-3121 | 2011-01-19 |
1982939641 | County of Lincoln | Clinic/Center | 1010 Sw Coast Hwy Ste 203, Newport, OR 97365 | 2009-10-13 |
1801045380 | Rural Medical Services, Inc. | Clinic/Center | 207 Murray Dr, Newport, TN 37821-3631 | 2008-09-09 |
1962443697 | Rural Medical Services, Inc. | Clinic/Center | 103 Wilton Springs Road, Newport, TN 37821 | 2006-06-10 |
Find all providers in NEWPORT |
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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.