NPIMap

Organization Active NPI

Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • North Providence, RI
National Provider Identifier
1144093691
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRI-COUNTY COMMUNITY ACTION AGENCY
Doing business as
Tri-County CAA Health Center Pediatric Dental Clinic
Practice address
1637 Mineral Spring Ave Ste 101
North Providence, RI 02904-4042
Phone
(401) 519-1940
Fax
(401) 351-6613
NPI assigned
Nov 6, 2023
Organization subpart
Yes
Parent organization
TRI-COUNTY COMMUNITY ACTION AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph R Desantis
Title
President/Ceo
Phone
(401) 519-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1637 Mineral Spring Ave Ste 101
North Providence, RI 02904-4042

Mailing address

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 519-1940

Other names 1

  • Tri-County CAA Health Center Pediatric Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri-Town Economic Opportunity Council16 organizations share this tax ID, including this one
Part of
Tri-Town Economic Opportunity Council

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1637 Mineral Spring Ave
Ste 2
North Providence, RI 02904

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1144093691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-519-1940",
            "fax_number": "401-351-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE STE 101",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-519-1940",
            "fax_number": "401-351-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COMMUNITY ACTION AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-COUNTY COMMUNITY ACTION AGENCY",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "401-519-1976"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County CAA Health Center Pediatric Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-County CAA Health Center Pediatric Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.