BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.
NPI 1063574135
Clinic/Center - Federally Qualified Health Center (FQHC) in Pawtucket, RI
About Blackstone Valley Community Health Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. (NPI 1063574135) is a healthcare organization registered as a federally qualified health center (fqhc) in Pawtucket, Rhode Island and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 21, 2027, maintains 4 additional practice locations, and lists Cristina Pacheco, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blackstone Valley Community Health Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Blackstone Valley Community Health Care, Inc., which bills Medicare for the services they deliver. Of these, 16 practice at this address and 64 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 75Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 41D2163839
Blackstone Valley Community Health Care, Inc · Central Falls, RIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blackstone Valley Community Health Care, Inc.'s NPI number?
The NPI number for Blackstone Valley Community Health Care, Inc. is 1063574135. It was assigned to this organization in the NPPES registry on December 15, 2006.
Where is Blackstone Valley Community Health Care, Inc. located?
Blackstone Valley Community Health Care, Inc. is located at 39 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 312-9892.
What is Blackstone Valley Community Health Care, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Blackstone Valley Community Health Care, Inc. enrolled in Medicare?
Yes. Blackstone Valley Community Health Care, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blackstone Valley Community Health Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 11 Medicare specialties reassign their Medicare billing to Blackstone Valley Community Health Care, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (27), Family Practice (21) and Clinical Social Worker (11). Of these, 16 practice at this address and 64 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Blackstone Valley Community Health Care, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 41D2163839) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Blackstone Valley Community Health Care, Inc. accept?
Health plans from WellSense Health Plan list Blackstone Valley Community Health Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blackstone Valley Community Health Care, Inc. was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blackstone Valley Community Health Care, Inc. · NPI 1063574135
Federally Qualified Health Center (FQHC) organization in Pawtucket, Rhode Island. Organization record, active in the CMS NPPES registry since December 15, 2006.
## Identity
- **NPI:** 1063574135 (Entity type: Organization)
- **Enumerated:** December 15, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Cristina Pacheco, CEO
## Practice location
- **Address:** 39 EAST AVE, Pawtucket, RI 02860-4003
- **Phone:** (401) 312-9892
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Family Practice (21), Clinical Social Worker (11); 16 practice at this address and 64 within 10 miles; [full list](https://npiprofile.com/npi/1063574135/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
- **Other identifiers:** Medicaid BV01759 (RI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063574135) · Data from the CMS NPPES public registry.