Organization
THUNDERMIST HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CKARLA AGUDELO (CREDENTIALING SPECIALIST)
(401) 767-4100
Entity
Organization
Contact information
Practice address
777 CASS AVE, HIGH SCHOOL HEALTH CLINIC, WOONSOCKET, RI 02895-4719
(401) 767-4100
Mailing address
25 JOHN A CUMMINGS WAY STE 203, WOONSOCKET, RI 02895-3244
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
SBH00010
RI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
SBH00010
RI
Other
Enumeration date
04/03/2012
Last updated
12/10/2025
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