THUNDERMIST HEALTH CENTER NPI 1376708560

NPI Information

NPI: 1376708560
Provider Name: THUNDERMIST HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
CLIA Number: 41D2099630
Address: 186 PROVIDENCE ST
WEST WARWICK, RI
ZIP 02893
Phone: (401) 615-2800

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NPI Details

THUNDERMIST HEALTH CENTER is a federally qualified health center (fqhc) clinic center in West Warwick, RI. THUNDERMIST HEALTH CENTER NPI is 1376708560. The provider is registered as an organization entity type.

The provider's business location address is:

186 PROVIDENCE ST
WEST WARWICK, RI
ZIP 02893-508
Phone: (401) 615-2800
Fax: (401) 615-2805

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

The CLIA number assigned to this NPI record is 41D2099630 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2008 and was last updated on 4/4/2025.

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	251S00000X	Community/Behavioral Health		ACF01610	RHODE ISLAND	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	ACF01610	RHODE ISLAND	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: 3/30/2025

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