Organization
COMPREHENSIVE COMMUNITY ACTION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BOOTH (BILLING MANAGER)
(401) 562-8313
Entity
Organization
Contact information
Practice address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9060
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000471
—
RI
Enumeration date
01/16/2025
Last updated
06/17/2025
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