Thundermist Health Center in Warwick - Peer Specialist
Thundermist Health Center - NPI 1588691620
Thundermist Health Center is a Peer Specialist in Warwick, Rhode Island. Thundermist Health Center practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Thundermist Health Center is 1588691620. The last update date is 2020-10-06.
Thundermist Health Center's current location address is 171 Service Ave Ste 330, Warwick, Rhode Island. You can contact this provider via phone number 4017674100 and fax number 4012356833. The mailing address for Thundermist Health Center is 171 Service Ave Ste 330, Warwick, Rhode Island. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Thundermist Health Center |
---|---|
Address | 171 Service Ave Ste 330, Warwick, Rhode Island |
Phone Number | 4017674100 |
Fax Number | 4012356833 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CREDENTIAL |
---|---|
Authorized Official Name | Agudelo Ckarla |
Telephone Number | 4017674100 |
NPI Number Detail
NPI Number | 1588691620 |
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Provider Enumeration Date | 2006-06-26 |
Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
Address | 171 Service Ave Ste 330 |
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City | Warwick |
State | Rhode Island (RI) |
Post Code | 28861015 |
Phone Number | 4017674100 |
Fax Number | 4012356833 |
Provider's Primary Taxonomy Detail
Speciality | Peer Specialist |
---|---|
Taxonomy | 175T00000X |
Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1588691620 | RI | -- | |
4101805 | RI | -- | |
TH02580 | RI | -- | |
ACF01584 | RI | OACF |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thundermist Health Center?
The Thundermist Health Center has been issued the NPI (National Provider Identifier) 1588691620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Thundermist Health Center's physical address?
The Thundermist Health Center is physically located at 171 Service Ave Ste 330, in the city of Warwick, RI, with the postal code 28861015.
What is Thundermist Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thundermist Health Center is Peer Specialist, and the taxonomy classification code that categorizes this area of expertise is 175T00000X.
On what date did the Thundermist Health Center receive its 1588691620 assignment from the Centers for Medicare & Medicaid Services?
The Thundermist Health Center was assigned its 1588691620 by the Centers for Medicare & Medicaid Services on 2006-06-26.
As of what date were the details pertaining to Thundermist Health Center last refreshed?
The information related to the Thundermist Health Center, including its address, specialty, and other relevant details, was last updated on 2020-10-06.