Organization
NARRAGANSETT INDIAN TRIBE
Active
Other names
Narragansett Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN LEAF SPEARS (DIRECTOR)
(401) 364-1268
Entity
Organization
Contact information
Practice address
51 OLD MILL RD, CHARLESTOWN, RI 02813-3322
(401) 364-1268
(401) 364-1030
Mailing address
4533 S COUNTY TRL, CHARLESTOWN, RI 02813-3428
(401) 364-1268
(401) 364-1030
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4101809
—
RI
Enumeration date
01/12/2007
Last updated
06/22/2020
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