| Thundermist Health Center | |
|
450 Clinton St Woonsocket RI 02895-3207 | |
| (401) 767-4100 | |
| Not Available |
| Full Name | Thundermist Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 450 Clinton St, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Ckarla Agudelo (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 4017674100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thundermist Health Center 171 Service Ave Fl 2 Warwick RI 02886-1015 Ph: (401) 767-4100 | Thundermist Health Center 450 Clinton St Woonsocket RI 02895-3207 Ph: (401) 767-4100 |
| NPI Number | 1366056830 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366056830 | NPI | - | NPPES |
| 4101805 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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