BLACKSTONE VALLEY COMMUNITY HEALTH CARE

NPI # 

Practice Address:

210 Main St

Pawtucket, RI, 02860-4008

Practice Phone:

401-312-9892

Practice Fax:

401-312-0139

License Number:

ACG01536

License State:

RI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X