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Organization

BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRISTINA PACHECO MD (CEO)
(401) 312-9892
Entity
Organization

Contact information

Practice address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 312-9892
Mailing address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 312-9892
(401) 312-0139

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251S00000X
Community/Behavioral Health Agency
ACF01536
RI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ACF01536
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BV01759
RI
Enumeration date
12/15/2006
Last updated
03/06/2026
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