| Comprehensive Community Action, Inc | |
|
2756 Post Rd Ste 103 Warwick RI 02886-3003 | |
| (401) 562-2250 | |
| Not Available |
| Full Name | Comprehensive Community Action, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2756 Post Rd Ste 103, Warwick, Rhode Island |
| Authorized Official Name and Position | Justine Sands (CFO) |
| Authorized Official Contact | 4015622249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Community Action, Inc 311 Doric Ave Cranston RI 02910-2903 | Comprehensive Community Action, Inc 2756 Post Rd Ste 103 Warwick RI 02886-3003 Ph: (401) 562-2250 |
| NPI Number | 1609253335 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0749176055 |
|---|---|
| Medicare Enrollment ID | O20150817001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609253335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 1502 (Rhode Island) | Primary |
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