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TRI-COUNTY CAA HEALTH CENTER PEDIATRIC DENTAL CLINIC
NPI 1144093691
Clinic/Center - Federally Qualified Health Center (FQHC) in North Providence, RI

Active since November 06, 2023CLIA Certified · 2 labs
1637 MINERAL SPRING AVE STE 101, NORTH PROVIDENCE, RI 02904(401) 519-1940(401) 351-6613 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri-county Caa Health Center Pediatric Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-COUNTY CAA HEALTH CENTER PEDIATRIC DENTAL CLINIC (NPI 1144093691) is a healthcare organization registered as a federally qualified health center (fqhc) in North Providence, Rhode Island and active in the NPI registry since November 2023. The organization holds 2 active CLIA laboratory certificates and lists Joseph R Desantis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1144093691
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-COUNTY COMMUNITY ACTION AGENCY
Location Address1637 MINERAL SPRING AVE STE 101North Providence, RI 02904-4042
Mailing Address1126 Hartford AveJohnston, RI 02919-7109 · (401) 519-1940 · Fax (401) 351-6613
Phone(401) 519-1940
Fax(401) 351-6613
Organization SubpartYes
Authorized OfficialJoseph R DesantisPresident/ceo · (401) 519-1976
Enumeration DateNovember 6, 2023
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1144093691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1637 MINERAL SPRING AVE STE 101, North Providence, RI 02904
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Other Names 1

Doing Business AsTri-county Caa Health Center Pediatric Dental Clinic

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 41D0084601

Tri-County Community Action Agency · Johnston, RI
Active · expires Jan 31, 2028
CLIA Number41D0084601
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorRebecca Friedman
Laboratory Phone(401) 519-1940
Laboratory LocationTri-County Community Action Agency1126 Hartford Ave, Johnston, RI 02919
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D2074379

Tri-County Community Action Agency · North Providence, RI
Active · expires Mar 6, 2028
CLIA Number41D2074379
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorRebecca Friedman
Laboratory Phone(401) 519-1940
Laboratory LocationTri-County Community Action Agency33 Maple Ave, North Providence, RI 02911
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Tri-County Community Action Agency's NPI number?

The NPI number for Tri-County Community Action Agency is 1144093691. It was assigned to this organization in the NPPES registry on November 6, 2023. The provider is doing business as Tri-County Caa Health Center Pediatric Dental Clinic.

Where is Tri-County Community Action Agency located?

Tri-County Community Action Agency is located at 1637 Mineral Spring Ave Ste 101, North Providence, RI 02904. The listed phone number is (401) 519-1940.

What is Tri-County Community Action Agency's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Tri-County Community Action Agency hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tri-County Community Action Agency was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.