Providence Community Action | |
662 Hartford Avenue Providence RI 02909 | |
(401) 272-0660 | |
(401) 454-0195 |
Full Name | Providence Community Action |
---|---|
Speciality | Community/behavioral Health |
Location | 662 Hartford Avenue, Providence, Rhode Island |
Authorized Official Name and Position | Digna Marrero (SENIOR ADMINISTRATOR) |
Authorized Official Contact | 4012720660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Providence Community Action 662 Hartford Avenue Providence RI 02909 Ph: (401) 272-0660 | Providence Community Action 662 Hartford Avenue Providence RI 02909 Ph: (401) 272-0660 |
NPI Number | 1780768234 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 10/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780768234 | NPI | - | NPPES |
PC12087 | Medicaid | RI | |
410608 | Other | RI | BLUE CHIP |
1021990 | Other | RI | BEACON |
303635-5 | Other | RI | BLUE CROSS |
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