Blackstone Valley Community Health Care, Inc. | |
9 Chestnut St Central Falls RI 02863-2005 | |
(401) 722-0081 | |
(401) 724-2109 |
Full Name | Blackstone Valley Community Health Care, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 9 Chestnut St, Central Falls, Rhode Island |
Authorized Official Name and Position | Raymond J. Lavoie (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4017290080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blackstone Valley Community Health Care, Inc. 42 Park Pl Pawtucket RI 02860-4010 Ph: (401) 729-0080 | Blackstone Valley Community Health Care, Inc. 9 Chestnut St Central Falls RI 02863-2005 Ph: (401) 722-0081 |
NPI Number | 1275847766 |
---|---|
Provider Enumeration Date | 07/27/2010 |
Last Update Date | 11/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275847766 | NPI | - | NPPES |
BV01759 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | ACF01528 (Rhode Island) | Primary |
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