Organization
NORTHWEST COMMUNITY HEALTH CARE
Active
Parent organization
NORTHWEST COMMUNITY HEALTH CARE
Other names
Pine Grove Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST COMMUNITY HEALTH CARE
Authorized official
PETER J BANCROFT (CFO)
(401) 285-5119
Entity
Organization
Contact information
Practice address
999 S. MAIN STREET, PASCOAG, RI 02859
(401) 568-3091
(401) 568-8070
Mailing address
PO BOX 312, PASCOAG, RI 02859
(401) 567-0800
(401) 567-0900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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