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BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.
NPI 1063574135
Clinic/Center - Federally Qualified Health Center (FQHC) in Pawtucket, RI

Active since December 15, 2006CLIA 41D2163839 · Waiver
39 EAST AVE, PAWTUCKET, RI 02860(401) 312-9892 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Feb 3, 2026, Mar 4, 2024 (3 updates tracked since 2024).

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

NPI1063574135
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.
Location Address39 EAST AVEPawtucket, RI 02860-4003
Mailing Address39 East AvePawtucket, RI 02860-4003 · (401) 312-9892 · Fax (401) 312-0139
Phone(401) 312-9892
Organization SubpartNo
Authorized OfficialCristina PachecoCeo · (401) 312-9892
Enumeration DateDecember 15, 2006
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1063574135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in RI · ACF01536
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License ACF01536 (RI)
39 EAST AVE, Pawtucket, RI 02860
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11000 Broad StCentral Falls, RI 02863-1507 · Phone (401) 722-0081 · Fax (401) 722-0081
Location 242 Park PlPawtucket, RI 02860-4010 · Phone (401) 722-0081
Location 31145 Main StPawtucket, RI 02860-7825 · Phone (401) 722-0081
Location 410 Higginson AveCentral Falls, RI 02863 · Phone (401) 722-0081

Other Identifiers 1

MedicaidBV01759RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, RI
Active · expires Mar 21, 2027
CLIA Number41D2163839
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorCristina Pacheco MD
Laboratory Phone(401) 722-0081
Laboratory LocationBlackstone Valley Community Health Care, Inc1000 Broad St, Central Falls, RI 02863
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISCILLA K CUNHA RN
Registered Nurse (Case Management)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-0502
CARDINAL HEALTH 132, LLC
Pharmacy (Community/Retail Pharmacy)
39 EAST AVE, SUITE 100
PAWTUCKET, RI 02860
Providence County (401) 642-2093
KELSEY OKOLOWITCZ MA, LMHC
Counselor (Mental Health)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-9843
RODOLFO M GALINATTI PA-C
Physician Assistant (Medical)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 729-0080
NICOLE SNAPPER
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
PHILOMENE FORTES
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
MS. ANNE BARYLICK FNP-BC
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
JANINE MARY MEDEIROS FNP-BC
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081

Frequently 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.

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.

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 with the weekly NPPES data releases published by CMS.