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
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
(401) 235-6882
Mailing address
25 JOHN A CUMMINGS WAY STE 203, WOONSOCKET, RI 02895-3244
(401) 767-4100
(401) 235-6882
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
ACF01584
RI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ACF01584
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588691620
—
RI
05
—
4101805
—
RI
01
—
ACF01584
OACF
RI
05
—
TH02580
—
RI
Enumeration date
06/26/2006
Last updated
01/08/2026
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