East Bay Community Action Program in Newport - Federally Qualified Health Center (fqhc)
East Bay Community Action Program - NPI 1861439705
East Bay Community Action Program is a Federally Qualified Health Center (fqhc) in Newport, Rhode Island. East Bay Community Action Program practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for East Bay Community Action Program is 1861439705. The last update date is 2023-05-01.
East Bay Community Action Program's current location address is 19 Broadway, Newport, Rhode Island. You can contact this provider via phone number 4018486697 and fax number 4018476220. The mailing address for East Bay Community Action Program is 19 Broadway, Newport, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Bay Community Action Program |
|---|---|
| Address | 19 Broadway, Newport, Rhode Island |
| Phone Number | 4018486697 |
| Fax Number | 4018476220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Feyisitan Rilwan |
| Telephone Number | 4018486697 |
NPI Number Detail
| NPI Number | 1861439705 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2023-05-01 |
Provider Mailing Address Detail
| Address | 19 Broadway |
|---|---|
| City | Newport |
| State | Rhode Island (RI) |
| Post Code | 28402937 |
| Phone Number | 4018486697 |
| Fax Number | 4018476220 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 1520 |
|
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 |
|---|---|---|---|
| EB51407 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to East Bay Community Action Program by the Centers for Medicare & Medicaid Services?
The East Bay Community Action Program has been assigned the NPI (National Provider Identifier) 1861439705 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where East Bay Community Action Program is located?
The East Bay Community Action Program is situated at the following address: 19 Broadway, Newport, RI, 28402937.
What is the East Bay Community Action Program's specialty and taxonomy code?
The East Bay Community Action Program's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the East Bay Community Action Program receive the assignment of its 1861439705 from the Centers for Medicare & Medicaid Services?
The East Bay Community Action Program was issued its 1861439705 by the Centers for Medicare & Medicaid Services on 2006-05-31.
As of what date were the East Bay Community Action Program's details last updated?
The information pertaining to the East Bay Community Action Program, including its address, specialty, and other details, was most recently updated on 2023-05-01.