Thundermist Health Center in Wakefield - Federally Qualified Health Center (fqhc)
Thundermist Health Center - NPI 1700041001
Thundermist Health Center is a Federally Qualified Health Center (fqhc) in Wakefield, Rhode Island. Thundermist Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Thundermist Health Center is 1700041001. The last update date is 2019-06-06.
Thundermist Health Center's current location address is 1 River St, Wakefield, Rhode Island. You can contact this provider via phone number 4017830523 and fax number 4017839448. The mailing address for Thundermist Health Center is 1 River St, Wakefield, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thundermist Health Center |
|---|---|
| Address | 1 River St, Wakefield, Rhode Island |
| Phone Number | 4017830523 |
| Fax Number | 4017839448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Agudelo Ckarla |
| Telephone Number | 4017674100 |
NPI Number Detail
| NPI Number | 1700041001 |
|---|---|
| Provider Enumeration Date | 2008-07-25 |
| Last Updated Date | 2019-06-06 |
Provider Mailing Address Detail
| Address | 1 River St |
|---|---|
| City | Wakefield |
| State | Rhode Island (RI) |
| Post Code | 28793214 |
| Phone Number | 4017830523 |
| Fax Number | 4017839448 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | ACF01566 |
|
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 |
|---|---|---|---|
| 4101805 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thundermist Health Center by the Centers for Medicare & Medicaid Services?
The Thundermist Health Center has been issued the NPI (National Provider Identifier) 1700041001 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Thundermist Health Center located?
The Thundermist Health Center is located at 1 River St, Wakefield, RI 28793214.
What is Thundermist Health Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thundermist Health Center'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 Thundermist Health Center receive its 1700041001 assignment from the Centers for Medicare & Medicaid Services?
The Thundermist Health Center was assigned its 1700041001 on 2008-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Thundermist Health Center most recently updated?
The details pertaining to the Thundermist Health Center, including its address, specialty, and other relevant information, were last refreshed on 2019-06-06.