Organization
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
Active
Other names
North Main
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CABRAL (CFO)
(401) 444-0400
Entity
Organization
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 415-9500
(401) 415-9515
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ACF01609
RI
Other
Enumeration date
04/06/2011
Last updated
12/05/2024
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