Tri-County Community Action Agency

NPI #1144093691 in North Providence, Rhode Island

Provider Information

NPI Number
1144093691
Entity Type
Organization
Organization Name
Tri-County Community Action Agency
Subpart
Yes (part of a larger organization)
Parent Organization
TRI-COUNTY COMMUNITY ACTION AGENCY
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 6, 2023
Last Updated
Mar 1, 2024

Practice Location

Address
1637 MINERAL SPRING AVE STE 101
ZIP Code
02904-4042
Phone
(401) 519-1940

Authorized Official

Name
JOSEPH R DESANTIS
Title
PRESIDENT/CEO
Phone
(401) 519-1976

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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