Organization
CHAD BROWN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CLANCY (FINANCE)
(401) 274-6339
Entity
Organization
Contact information
Practice address
285A CHAD BROWN ST, PROVIDENCE, RI 02908-3102
(401) 274-6339
(401) 453-6290
Mailing address
10 ORMS ST STE 110, PROVIDENCE, RI 02904-7814
(401) 453-0666
(401) 453-9619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181
NEIBORHOOD HEALTH GROUP
RI
01
—
451-2
GROUP BS NUMBER
RI
05
—
9000451
—
RI
Enumeration date
03/09/2007
Last updated
08/22/2020
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