The Providence Community Health Centers, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

ACF01611 Issued in RI

Legal business name

THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.

Practice address

85 A Chad Brown Street
Providence, RI 02908

Phone

(401) 274-6339

Fax

(401) 831-5953

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Cabral

Title

Cfo

Phone

(401) 444-0400

Specialties & licenses 2

Addresses

Other names 1

• Chad Brown Health Center Doing business as

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1669596367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 A CHAD BROWN STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02908",
            "telephone_number": "401-274-6339",
            "fax_number": "401-831-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-444-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "RI",
            "license": "ACF01611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chad Brown Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Providence Community Health Centers, Inc.
• The Providence Community Health Centers, Inc.
• The Providence Community Health Centers, Inc.
• The Providence Community Health Centers, Inc.
• The Providence Community Health Centers, Inc.
• The Providence Community Health Centers, Inc.
• The Providence Community Health Centers, Inc.
• The Rhode Island Coalition for the Homeless, Inc.
• The Rhode Island Nursing Middle College Charter School
• The Rhode Island Public Health Foundation

• Federally Qualified Health Center (FQHC) in Providence, RI
• Providers in Providence, RI by specialty
• Federally Qualified Health Center (FQHC) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.