Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THUNDERMIST HEALTH CENTER
NPI 1366056830
Clinic/Center - Federally Qualified Health Center (FQHC) in Woonsocket, RI

Active since September 02, 2020
450 CLINTON ST, WOONSOCKET, RI 02895(401) 767-4100 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Dec 10, 2025, Apr 4, 2025 and 1 more (4 updates tracked since 2020).

About Thundermist Health Center NPPES

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

THUNDERMIST HEALTH CENTER (NPI 1366056830) is a healthcare organization registered as a federally qualified health center (fqhc) in Woonsocket, Rhode Island and active in the NPI registry since September 2020. The organization maintains 3 additional practice locations and lists Ckarla Agudelo, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366056830
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHUNDERMIST HEALTH CENTER
Location Address450 CLINTON STWoonsocket, RI 02895-3207
Mailing Address25 John A Cummings Way Ste 203Woonsocket, RI 02895-3244 · (401) 767-4100
Organization SubpartNo
Authorized OfficialCkarla AgudeloDirector Of Credentialing · (401) 767-4100
Enumeration DateSeptember 2, 2020
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1366056830 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
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
450 CLINTON ST, Woonsocket, RI 02895

Secondary Practice Locations 3

Location 11 River StWakefield, RI 02879-3214 · Phone (401) 767-4100
Location 2360 Kingstown Rd Unit 101Narragansett, RI 02882-3258 · Phone (401) 789-6492
Location 3186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 615-2800

Other Identifiers 1

Medicaid4101805RI

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 for Provider-Performed Microscopy Procedures (PPMP) 41D2266454

Thundermist Health Center Of South County - Pediatrics · Narragansett, RI
Expired · Aug 9, 2026
CLIA Number41D2266454
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorDavid Bourassa
Laboratory Phone(401) 789-6492
Laboratory LocationThundermist Health Center Of South County - Pediatrics360 Kingstown Road Ste 101, Narragansett, RI 02882
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.

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.

Social Worker (Clinical)
450 CLINTON ST
WOONSOCKET, RI 02895
Internal Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Psychiatric/Mental Health)
450 CLINTON ST
WOONSOCKET, RI 02895
Registered Nurse (Community Health)
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895

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 Thundermist Health Center's NPI number?

The NPI number for Thundermist Health Center is 1366056830. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Thundermist Health Center located?

Thundermist Health Center is located at 450 Clinton St, Woonsocket, RI 02895. The listed phone number is (401) 767-4100.

What is Thundermist Health Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Thundermist Health Center was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.