Organization
COMPREHENSIVE COMMUNITY ACTION, INC
Active
Other names
Everett C Wilcox Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE SANDS (CFO)
(401) 562-2249
Entity
Organization
Contact information
Practice address
206 BUTTONWOODS AVE, WARWICK, RI 02886-7541
(401) 732-9090
(401) 732-2790
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1502
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709000471
MEDICARE OTHER
RI
05
—
9000471
—
RI
Enumeration date
04/09/2012
Last updated
04/23/2026
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