Organization
COMMUNITY CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT F LESSING JR. MSW (CEO/PRESIDENT)
(401) 235-7000
Entity
Organization
Contact information
Practice address
800 CLINTON ST, WOONSOCKET, RI 02895-3245
(401) 235-7000
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NRO02172
—
RI
Enumeration date
04/28/2008
Last updated
07/03/2014
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