Thundermist Health Center

LBN: Thundermist Health Center
Thundermist Health Center is an health care organization with primary practice located at 450 Clinton St , Woonsocket RI 02895-3207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Thundermist Health Center can be contacted via phone (401) 767-4100, or through Agudelo, Ckarla via phone (401) 767-4100.

Contact Information

Primary practice address
450 Clinton St Woonsocket RI 02895-3207
Phone: (401) 767-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agudelo, Ckarla
Phone: (401) 767-4100

Health care specialties

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

Profile Details

NPI number 1366056830
LBN Legal business name Thundermist Health Center
DBA Doing business as
Authorized official Agudelo, Ckarla
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2020
Last updated Sep 2nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366056830 NPPES
Rhode Island MEDICAID 4101805

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