Organization
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Active
Other names
PCHC Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CABRAL (CFO)
(401) 444-0400
Entity
Organization
Contact information
Practice address
355R PRAIRIE AVE, SUITE 3, PROVIDENCE, RI 02905-1961
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/16/2005
Last updated
12/05/2024
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