Organization
THUNDERMIST HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CKARLA AGUDELO (DIRECTOR OF CREDENTIALING)
(401) 767-4100
Entity
Organization
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Mailing address
25 JOHN A CUMMINGS WAY STE 203, WOONSOCKET, RI 02895-3244
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4101805
—
RI
Enumeration date
09/02/2020
Last updated
07/28/2026
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