institution
Blackstone Valley Community Health Care
Federally Qualified Health Center (FQHC) in Pawtucket, Rhode Island
NPI 1104046226

Blackstone Valley Community Health Care is a Federally Qualified Health Center (FQHC) based in Pawtucket, RI and is specialized in Federally Qualified Health Center (FQHC). Blackstone Valley Community Health Care practices in Pawtucket, RI. The NPI Number for Blackstone Valley Community Health Care is 1104046226 and holds a License No. ACG01536 (Rhode Island).

The current practice location address for Blackstone Valley Community Health Care is 210 Main St, Pawtucket, RI and can be reached out via phone at 401-312-9892 and via fax at 401-312-0139.

Location: 210 Main St, Pawtucket, RI, 02860-4003
institution
Provider Profile Details
NPI Number
1104046226
Provider Name
Blackstone Valley Community Health Care
Credential
Provider Entity Type
Organization
Address
210 Main St, Pawtucket, RI, 02860-4003
Phone Number
401-312-9892
Fax Number
401-312-0139
Provider Enumeration Date
04/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BVCHC09336 05 RI
institution
Provider Business Practice Location Address Details
Address
210 Main St
City
State
Zip
02860-4008
Phone Number
401-312-9892
Fax Number
401-312-0139
person
Provider Business Mailing Address Details
Address
210 Main St
City
State
Zip
02860-4008
Phone Number
401-312-9892
Fax Number
401-312-0139
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
ACG01536 (Rhode Island)
Definition
Definition to come...
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