Blackstone Valley Community Health Care, Inc.

LBN: Blackstone Valley Community Health Care, Inc.
Blackstone Valley Community Health Care, Inc. is an health care organization with primary practice located at 39 East Ave , Pawtucket RI 02860-4003. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Blackstone Valley Community Health Care, Inc. can be contacted via phone (401) 312-9892, or through Lavoie, Raymond J via phone (401) 312-9892.

Contact Information

Primary practice address
39 East Ave Pawtucket RI 02860-4003
Fax:
Website:
Authorized official contact:
Name: Lavoie, Raymond J

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X ACF01536 Rhode Island
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X ACF01536 Rhode Island

Profile Details

NPI number 1063574135
LBN Legal business name Blackstone Valley Community Health Care, Inc.
DBA Doing business as
Authorized official Lavoie, Raymond J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 4th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063574135 NPPES
Rhode Island MEDICAID BV01759

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