| Thundermist Health Center | |
|
360 Kingstown Rd Unit 101 Narragansett RI 02882-3258 | |
| (401) 767-4100 | |
| Not Available |
| Full Name | Thundermist Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 360 Kingstown Rd Unit 101, Narragansett, Rhode Island |
| Authorized Official Name and Position | Dakotah Michele Bowen (CREDENTIALING LEAD) |
| Authorized Official Contact | 4017674100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thundermist Health Center 25 John A Cummings Way Woonsocket RI 02895-3244 Ph: (401) 767-4100 | Thundermist Health Center 360 Kingstown Rd Unit 101 Narragansett RI 02882-3258 Ph: (401) 767-4100 |
| NPI Number | 1265190292 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265190292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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