Thundermist Health Center
LBN: Thundermist Health Center
Thundermist Health Center is an health care organization with primary practice located at 186 Providence St , West Warwick RI 02893-2508. 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.
Thundermist Health Center can be contacted via phone (401) 615-2800, or through Agudelo, Ckarla via phone (401) 767-4100.
Contact Information
Primary practice address
186 Providence St
West Warwick RI 02893-2508
Phone: (401) 615-2800
Fax: (401) 615-2805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ACF01610 | Rhode Island |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ACF01610 | Rhode Island |
Profile Details
| NPI number | 1376708560 |
|---|---|
| LBN Legal business name | Thundermist Health Center |
| DBA Doing business as | |
| Authorized official | Agudelo, Ckarla |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2008 |
| Last updated | Sep 19th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376708560 | NPPES |
| Rhode Island | MEDICAID | 4101805 |
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