Blackstone Valley Community Health Care in Pawtucket - Federally Qualified Health Center (fqhc)
Blackstone Valley Community Health Care - NPI 1104046226
Blackstone Valley Community Health Care is a Federally Qualified Health Center (fqhc) in Pawtucket, Rhode Island. Blackstone Valley Community Health Care practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Blackstone Valley Community Health Care is 1104046226. The last update date is 2011-11-18.
Blackstone Valley Community Health Care's current location address is 42 Park Pl, Pawtucket, Rhode Island. You can contact this provider via phone number 4017290080 and fax number 4017290438. The mailing address for Blackstone Valley Community Health Care is 42 Park Pl, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blackstone Valley Community Health Care |
|---|---|
| Address | 42 Park Pl, Pawtucket, Rhode Island |
| Phone Number | 4017290080 |
| Fax Number | 4017290438 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lavoie J Raymond |
| Telephone Number | 4017290080 |
NPI Number Detail
| NPI Number | 1104046226 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2011-11-18 |
Provider Mailing Address Detail
| Address | 42 Park Pl |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 28604010 |
| Phone Number | 4017290080 |
| Fax Number | 4017290438 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | ACG01536 |
|
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 |
|---|---|---|---|
| BVCHC09336 | RI | -- |
Post Comment/ Review Below
What is the Blackstone Valley Community Health Care's 1104046226?
The Blackstone Valley Community Health Care's NPI (National Provider Identifier) Number is 1104046226. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Blackstone Valley Community Health Care is physically located?
The Blackstone Valley Community Health Care is physically situated at the following address: 42 Park Pl, Pawtucket, RI, 28604010.
What is Blackstone Valley Community Health Care's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blackstone Valley Community Health Care's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104046226 to Blackstone Valley Community Health Care?
The Blackstone Valley Community Health Care received its 1104046226 assignment from the Centers for Medicare & Medicaid Services on 2007-04-30.
When was the Blackstone Valley Community Health Care's information last updated?
The Blackstone Valley Community Health Care's information was last updated on 2011-11-18.
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1275534794
Address: 5471 Dr Martin Luther King Dr, Saint Louis, MO