THUNDERMIST HEALTH CENTER NPI 1366056830

NPI Information

NPI: 1366056830
Provider Name: THUNDERMIST HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
450 CLINTON ST
WOONSOCKET, RI
ZIP 02895
Phone: (401) 767-4100
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THUNDERMIST HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Woonsocket, RI. THUNDERMIST HEALTH CENTER NPI is 1366056830. The provider is registered as an organization entity type.

The provider's business location address is:

450 CLINTON ST
WOONSOCKET, RI
ZIP 02895-207
Phone: (401) 767-4100

The provider's authorized official is Ckarla Agudelo .
The authorized official title is Credentialing Assistant and has the following contact phone number (401) 767-4100.

The enumeration date for this NPI number is 9/2/2020 and was last updated on 9/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4101805	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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