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
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-0523
(401) 783-9448
Mailing address
25 JOHN A CUMMINGS WAY STE 203, WOONSOCKET, RI 02895-3244
(401) 767-4100
(401) 235-6833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
ACF01566
RI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ACF01566
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4101805
—
RI
Enumeration date
07/25/2008
Last updated
12/02/2025
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