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The Providence Community Health Centers, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Providence, RI

NPI 1477545549 · NPPES record last updated Dec 5, 2024

Key facts

NPI
1477545549
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Practice address
355R Prairie Ave
Suite 3
Providence, RI 02905-1961
Phone
(401) 444-0430
Fax
(401) 444-0489
NPI assigned
Aug 16, 2005
Organization subpart
No

Authorized official

Name
Kevin Cabral
Title
Cfo
Phone
(401) 444-0400

Corporate family (same tax ID) 8

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
The Providence Community Health Centers Inc (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

355R Prairie Ave
Suite 3
Providence, RI 02905-1961

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

Other names

  • PCHC Dental Clinic Doing business as

Other providers in Providence, RI

All providers in Providence, RI · Federally Qualified Health Center (FQHC) in Rhode Island

Sources for this page

Verify at the official NPI Registry.