THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC – NPI #1558017319
Clinic/Center

THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC is an AHC clinic located in PROVIDENCE, RI. NPPES has assigned the NPI number 1558017319 to THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC on March 01, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Dec 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC below.

NPI Profile for
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC

NPI Number
1558017319
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC
Primary location
31 ATWOOD STREET
ATWOOD HEALTH CENTER
PROVIDENCE, RI 02909
Phone: (401) 444-0590 Fax: (401) 396-2084
Mailing address
375 ALLENS AVE
PROVIDENCE, RI 02905-5010
Phone: (401) 444-0400 Fax:
Organization Subpart
No
Authorized Official
KEVIN CABRAL
CFO
Phone: (401) 444-0400
Updated
Certification Date
Dec 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.