Tri-County Community Action Agency
Clinic/Center, Federally Qualified Health Center (FQHC) in Johnston, Rhode Island
1396780086- Practice location
- 1126 Hartford Ave, Johnston, RI 02919-7130
- Phone
- 401-351-2750
- Fax
- 401-351-6613
- Last updated
- December 12, 2023
Tri-County Community Action Agency is a healthcare organization based in Johnston, RI. Tri-County Community Action Agency practices in Johnston, RI. The NPI Number for Tri-County Community Action Agency is 1396780086 and holds a License No. ACF01507 (RI). The current practice location address for Tri-County Community Action Agency is 1126 Hartford Ave, Johnston, RI 02919-7130 and can be reached out via phone at 401-351-2750 and via fax at 401-351-6613.
Provider Profile Details
- NPI Number
- 1396780086
- Provider Name
- Tri-County Community Action Agency
- Provider Entity Type
- Organization
- Address
- 1126 Hartford Ave, Johnston, RI 02919-7130
- Phone Number
- 401-351-2750
- Fax Number
- 401-351-6613
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Joseph R Desantis · Chief Executive Officer · 401-519-1967
- Other Names
- Tri-Town Economic Opportunity Committee (Former Legal Business Name)
- Provider Enumeration Date
- June 18, 2006
- Last Update Date
- December 12, 2023
- Certification Date
- December 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1126 Hartford Ave
Johnston, RI 02919-7130 - City
- Johnston
- State
- Rhode Island
- Zip
- 02919-7130
- Phone Number
- 401-351-2750
- Fax Number
- 401-351-6613
Provider Business Mailing Address Details
- Address
- 1126 Hartford Ave
Johnston, RI 02919-7130 - City
- Johnston
- State
- RI
- Zip
- 02919-7130
- Phone Number
- 401-351-2750
- Fax Number
- 401-351-6613
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Dental · 261QD0000X
- Taxonomy (3)
- Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X
- License Number (4)
- ACF01507
- License State (4)
- RI
- Taxonomy (4)
- 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 Tri-County Community Action Agency?
The NPI number of Tri-County Community Action Agency is 1396780086. It was assigned on June 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Tri-County Community Action Agency?
Tri-County Community Action Agency is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in RI under license number ACF01507.
Where does Tri-County Community Action Agency practice?
The practice location is 1126 Hartford Ave, Johnston, RI 02919-7130. The office can be reached at 401-351-2750 (phone) or 401-351-6613 (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 1396780086 directly on the NPPES registry website.