TRI-COUNTY COMMUNITY ACTION AGENCY NPI 1396780086

NPI Information

TRI-COUNTY COMMUNITY ACTION AGENCY is a federally qualified health center (fqhc) clinic center in Johnston, RI. TRI-COUNTY COMMUNITY ACTION AGENCY NPI is 1396780086. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tri-town Economic Opportunity Committee.

The provider's business location address is:

1126 HARTFORD AVE
JOHNSTON, RI
ZIP 02919-130
Phone: (401) 351-2750
Fax: (401) 351-6613

The provider's authorized official is Joseph R Desantis .
The authorized official title is Chief Executive Officer and has the following contact phone number (401) 519-1967.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 12/12/2023.

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:

Other Identifiers

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