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 4 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Case Management, 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) 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: (401) 235-6882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ACF01584 | Rhode Island |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ACF01584 | Rhode Island |
Profile Details
| NPI number | 1588691620 |
|---|---|
| LBN Legal business name | Thundermist Health Center |
| DBA Doing business as | |
| Authorized official | Agudelo, Ckarla |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Oct 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588691620 | NPPES |
| Rhode Island | MEDICAID | 1588691620 | |
| Rhode Island | MEDICAID | 4101805 | |
| Rhode Island | MEDICAID | TH02580 | |
| Rhode Island | Other | ACF01584 |
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