| Thundermist Health Center | |
|
1 River St Wakefield RI 02879-3214 | |
| (401) 783-0523 | |
| (401) 783-9448 |
| Full Name | Thundermist Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 River St, Wakefield, Rhode Island |
| Authorized Official Name and Position | Ckarla Agudelo (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4017674100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thundermist Health Center 171 Service Ave Ste 330 Warwick RI 02886-1015 Ph: (401) 767-4100 | Thundermist Health Center 1 River St Wakefield RI 02879-3214 Ph: (401) 783-0523 |
| NPI Number | 1700041001 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 06/06/2019 |
| Medicare PECOS PAC ID | 1557270477 |
|---|---|
| Medicare Enrollment ID | O20030915000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700041001 | NPI | - | NPPES |
| 4101805 | Medicaid | RI |
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