NPIMap

Organization Active NPI

Comprehensive Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Cranston, RI
National Provider Identifier
1659845451
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPREHENSIVE COMMUNITY ACTION, INC
Practice address
30 Howard Ave
Cranston, RI 02920-3031
Phone
(401) 467-9610
NPI assigned
Jan 15, 2019
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Justine Sands
Title
Cfo
Phone
(401) 562-2249

Specialties & licenses 2

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

Addresses

Primary practice location

30 Howard Ave
Cranston, RI 02920-3031

Mailing address

311 Doric Ave
Cranston, RI 02910-2903
Phone (401) 562-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000668 RI Part B Supplier - Clinic/Group Practice 0749176055 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cranston, RI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659845451. Details of each certification follow.

  • CCN 411859 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 411859

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMPREHENSIVE COMMUNITY ACTION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 11, 2019
Last certification
Mar 11, 2019
Ownership / control type
For profit – corporation
Facility address
30 Howard Ave
Cranston, RI 02920

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2756 Post Rd
#103
Warwick, RI 02886
Phone (401) 384-6007

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1659845451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DORIC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102903",
            "telephone_number": "401-562-8305",
            "fax_number": "401-467-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOWARD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203031",
            "telephone_number": "401-467-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY ACTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-562-2249"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.