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
25 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3244
(401) 767-4161
(401) 767-5441
Mailing address
25 JOHN A CUMMINGS WAY STE 203, WOONSOCKET, RI 02895-3244
(401) 767-4100
(401) 235-6833
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
ACF01569
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH02580
—
RI
Enumeration date
03/12/2008
Last updated
12/10/2025
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