Pchc Dental Clinic

LBN: The Providence Community Health Centers, Inc.
Pchc Dental Clinic is an health care organization with primary practice located at 355R Prairie Ave Suite 3, Providence RI 02905-1961. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. The Providence Community Health Centers, Inc. can be contacted via phone (401) 444-0430, or through Young, Gregory via phone (401) 444-0400.

Contact Information

Primary practice address
355R Prairie Ave Suite 3 Providence RI 02905-1961
Phone: (401) 444-0430
Fax: (401) 444-0489
Website:
Map and Directions
Authorized official contact:
Name: Young, Gregory
Phone: (401) 444-0400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1477545549
LBN Legal business name The Providence Community Health Centers, Inc.
DBA Doing business as Pchc Dental Clinic
Authorized official Young, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 29th, 2017 - about 7 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.

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