East Bay Community Action Program - Medicare Primary Care in Newport, RI

East Bay Community Action Program is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Newport, Rhode Island. The current practice location for East Bay Community Action Program is 19 Broadway, Newport, Rhode Island. For appointments, you can reach them via phone at (401) 848-6697. The mailing address for East Bay Community Action Program is 19 Broadway, Newport, Rhode Island and phone number is (401) 848-6697.

East Bay Community Action Program is licensed to practice in Rhode Island (license number 01520). The clinic also participates in the medicare program and its NPI number is 1861439705. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 848-6697.

Contact Information

East Bay Community Action Program
19 Broadway
Newport
RI 02840-2937
(401) 848-6697
(401) 847-6220

Primary Care Clinic Profile

Full NameEast Bay Community Action Program
SpecialityClinic/Center
Location19 Broadway, Newport, Rhode Island
Authorized Official Name and PositionRilwan Feyisitan (CEO)
Authorized Official Contact4018486697
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Bay Community Action Program
19 Broadway
Newport
RI 02840-2937

Ph: (401) 848-6697
East Bay Community Action Program
19 Broadway
Newport
RI 02840-2937

Ph: (401) 848-6697

NPI Details:

NPI Number1861439705
Provider Enumeration Date05/31/2006
Last Update Date05/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1951298595
Medicare Enrollment IDO20040407001561

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Medical Identifiers

Medical identifiers for East Bay Community Action Program such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861439705NPI-NPPES
EB51407MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 01520 (Rhode Island)Primary

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