Thundermist Health Center

LBN: Thundermist Health Center
Thundermist Health Center is an health care organization with primary practice located at 777 Cass Ave High School Health Clinic, Woonsocket RI 02895-4719. 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) 767-4100, or through Agudelo, Ckarla via phone (401) 767-4100.

Contact Information

Primary practice address
777 Cass Ave High School Health Clinic Woonsocket RI 02895-4719
Phone: (401) 767-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agudelo, Ckarla
Phone: (401) 767-4100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X SBH00010 Rhode Island
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X SBH00010 Rhode Island

Profile Details

NPI number 1801152947
LBN Legal business name Thundermist Health Center
DBA Doing business as
Authorized official Agudelo, Ckarla
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2012
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.

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