Organization
TRI-COUNTY COMMUNITY ACTION AGENCY
Active
Parent organization
TRI-COUNTY COMMUNITY ACTION AGENCY
Other names
Tri-County CAA Health Center Pediatric Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-COUNTY COMMUNITY ACTION AGENCY
Authorized official
JOSEPH R DESANTIS (PRESIDENT/CEO)
(401) 519-1976
Entity
Organization
Contact information
Practice address
1637 MINERAL SPRING AVE STE 101, NORTH PROVIDENCE, RI 02904-4042
(401) 519-1940
(401) 351-6613
Mailing address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7109
(401) 519-1940
(401) 351-6613
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
03/01/2024
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