THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC
Ambulatory Health at Randall Sq, Providence, RI

License number
Rhode Island ACF01515-01
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: BRENDA CHARPENTIER
Title: CREDENTIALING SPECIALIST
Phone: (401) 780-2511
Address
Address
1 Randall Sq, Providence, RI 02904
National Provider ID: 1083138572
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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The Providence Community Health Centers, Inc

375 Allens Ave, Providence, RI 02905

Industry:
HEALTH CARE, Medical Doctor's Office
Registration:
Mar 1, 1976
Phone:
(401) 444-0400 (Phone), (401) 444-0421 (Fax)
State ID:
000028183
Business type:
Domestic Non-Profit Corporation
Chief Financial Officer, Vice-Presidents:
Altug Koymen (Obstetrician, Medical Doctor),Elaine Hardman (Chief Operating Officer),Timothy W. Watkins (Medical Doctor),...
SIC:
8049 - Offices and Clinics of Health Practitioners, Not Elsewhere Classified
SIC6:
801103 - Contact Lenses-Ophthalmologists
Company size:
275

The Providence Community Health Centers Inc

202 Pr Ave, Providence, RI 02905

Industry:
Professional Organization
Doing business as:
Allen Berry Health Center
Phone:
(401) 444-0427 (Phone)
Nurse Practitioners:
Timothy Watkins (Pediatrics, Medical Doctor),Sergio F Rodriguez Serra (Internal Medicine, Medical Doctor),Sandra Boehlert (Medical Doctor),...

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