Tri-County Community Action Agency in Johnston - Federally Qualified Health Center (fqhc)

Tri-County Community Action Agency - NPI 1396780086

Tri-County Community Action Agency is a Federally Qualified Health Center (fqhc) in Johnston, Rhode Island. Tri-County Community Action Agency practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Tri-County Community Action Agency is 1396780086. The last update date is 2023-08-15.

Tri-County Community Action Agency's current location address is 1126 Hartford Ave, Johnston, Rhode Island. You can contact this provider via phone number 4013512750 and fax number 4013516613. The mailing address for Tri-County Community Action Agency is 1126 Hartford Ave, Johnston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tri-County Community Action Agency
Address 1126 Hartford Ave, Johnston, Rhode Island
Phone Number 4013512750
Fax Number 4013516613
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Desantis R Joseph
Telephone Number 4015191967

NPI Number Detail

NPI Number 1396780086
Provider Enumeration Date 2006-06-18
Last Updated Date 2023-08-15

Provider Mailing Address Detail

Address 1126 Hartford Ave
City Johnston
State Rhode Island (RI)
Post Code 29197130
Phone Number 4013512750
Fax Number 4013516613

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No ACF01507
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
TT02485 RI --

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FAQs about Tri-County Community Action Agency

What is the unique 10-digit identifier code assigned to Tri-County Community Action Agency by the Centers for Medicare & Medicaid Services?

The Tri-County Community Action Agency has been issued the NPI (National Provider Identifier) 1396780086 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Tri-County Community Action Agency's physical address?

The Tri-County Community Action Agency is physically located at 1126 Hartford Ave, in the city of Johnston, RI, with the postal code 29197130.

What is Tri-County Community Action Agency's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tri-County Community Action Agency is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396780086 to Tri-County Community Action Agency?

The Centers for Medicare & Medicaid Services assigned the 1396780086 to Tri-County Community Action Agency on 2006-06-18.

When was the information related to Tri-County Community Action Agency most recently updated or refreshed?

The details pertaining to the Tri-County Community Action Agency, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-15.

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