COMPREHENSIVE COMMUNITY ACTION INC NPI 1659845451

NPI Information

NPI: 1659845451
Provider Name: COMPREHENSIVE COMMUNITY ACTION, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 41D0873933

Address:
30 HOWARD AVE
CRANSTON, RI
ZIP 02920
Phone: (401) 467-9610
Get Directions

COMPREHENSIVE COMMUNITY ACTION, INC is a federally qualified health center (fqhc) clinic center in Cranston, RI. COMPREHENSIVE COMMUNITY ACTION, INC NPI is 1659845451. The provider is registered as an organization entity type.

The provider's business location address is:

30 HOWARD AVE
CRANSTON, RI
ZIP 02920-031
Phone: (401) 467-9610

The provider's authorized official is Gina E Eubank .
The authorized official title is Director Of Operations and has the following contact phone number (401) 562-8305.

The CLIA number assigned to this NPI record is 41D0873933 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2019 and was last updated on 1/15/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000471	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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