Organization
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CABRAL (CFO)
(401) 444-0400
Entity
Organization
Contact information
Practice address
1 RANDALL SQ, PROVIDENCE, RI 02904-2709
(401) 274-6339
(401) 453-6290
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ACF01515-01
RI
Other
Enumeration date
07/27/2017
Last updated
12/05/2024
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