Blackstone Valley Community Health Care Inc

A Medicare group practice based in Pawtucket, RI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8628045762), with 90 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628045762The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
RI
Enrollments
5
Group size
49 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20101102001316 RI Part A Provider - Federally Qualified Health Center (FQHC) 1063574135
O20040916000775 RI Part B Supplier - Clinic/Group Practice 1063574135
O20160208001907 RI Part A Provider - Federally Qualified Health Center (FQHC) 1063574135
O20160718001565 RI Part A Provider - Federally Qualified Health Center (FQHC) 1063574135
O20160725001617 RI Part A Provider - Federally Qualified Health Center (FQHC) 1063574135

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 90

Clinicians who reassign their Medicare benefits to this group (82) or whom Care Compare lists as members (49).

Sources for this page