Providence Community Action
LBN: Providence Community Action
Providence Community Action is an health care organization with primary practice located at 662 Hartford Avenue , Providence RI 02909. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Providence Community Action can be contacted via phone (401) 272-0660, or through Marrero, Digna via phone (401) 272-0660.
Contact Information
Primary practice address
662 Hartford Avenue
Providence RI 02909
Phone: (401) 272-0660
Fax: (401) 454-0195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | 615.1 | Rhode Island |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1780768234 |
|---|---|
| LBN Legal business name | Providence Community Action |
| DBA Doing business as | |
| Authorized official | Marrero, Digna LCDP, RCS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Oct 9th, 2009 - about 15 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780768234 | NPPES |
| Rhode Island | MEDICAID | PC12087 | |
| Rhode Island | Other | 410608 | |
| Rhode Island | Other | 1021990 | |
| Rhode Island | Other | 303635-5 |
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