Blackstone Valley Community Health Care
Clinic/Center, Federally Qualified Health Center (FQHC) in Pawtucket, Rhode Island
1104046226- Practice location
- 210 Main St, Pawtucket, RI 02860-4008
- Phone
- 401-312-9892
- Fax
- 401-312-0139
- Last updated
- February 3, 2026
Blackstone Valley Community Health Care is a healthcare organization based in Pawtucket, RI. 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 (RI). The current practice location address for Blackstone Valley Community Health Care is 210 Main St, Pawtucket, RI 02860-4008 and can be reached out via phone at 401-312-9892 and via fax at 401-312-0139.
Provider Profile Details
- NPI Number
- 1104046226
- Provider Name
- Blackstone Valley Community Health Care
- Provider Entity Type
- Organization
- Address
- 210 Main St, Pawtucket, RI 02860-4008
- Phone Number
- 401-312-9892
- Fax Number
- 401-312-0139
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Cristina Pacheco, MD · Ceo · 401-722-0081
- Provider Enumeration Date
- April 30, 2007
- Last Update Date
- February 3, 2026
- Certification Date
- February 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 Main St
Pawtucket, RI 02860-4008 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4008
- Phone Number
- 401-312-9892
- Fax Number
- 401-312-0139
Provider Business Mailing Address Details
- Address
- 39 East Ave
Pawtucket, RI 02860-4003 - City
- Pawtucket
- State
- RI
- Zip
- 02860-4003
- Phone Number
- 401-312-9892
- Fax Number
- 401-312-0139
License Information
- License Number
- ACG01536
- License State
- RI
- Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blackstone Valley Community Health Care?
The NPI number of Blackstone Valley Community Health Care is 1104046226. It was assigned on April 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Blackstone Valley Community Health Care?
Blackstone Valley Community Health Care is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in RI under license number ACG01536.
Where does Blackstone Valley Community Health Care practice?
The practice location is 210 Main St, Pawtucket, RI 02860-4008. The office can be reached at 401-312-9892 (phone) or 401-312-0139 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104046226 directly on the NPPES registry website.