NPIMap

Organization Active NPI

Northwest Community Health Care

  • Clinic/Center
  • Pascoag, RI
National Provider Identifier
1487923793
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHWEST COMMUNITY HEALTH CARE
Practice address
999 S. Main Street
Pascoag, RI 02859
Phone
(401) 568-3091
Fax
(401) 568-8070
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST COMMUNITY HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Peter J Bancroft
Title
Cfo
Phone
(401) 285-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

999 S. Main Street
Pascoag, RI 02859

Mailing address

PO Box 312
Pascoag, RI 02859
Phone (401) 567-0800

Other names 1

  • Pine Grove Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwest Dental6 organizations share this tax ID, including this one
Part of
Northwest Dental

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1487923793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "02859",
            "telephone_number": "401-567-0800",
            "fax_number": "401-567-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S. MAIN STREET",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "02859",
            "telephone_number": "401-568-3091",
            "fax_number": "401-568-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMMUNITY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COMMUNITY HEALTH CARE",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-285-5119"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Grove Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pascoag, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.