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PRAIRIE AVE
NPI 1417959867
Clinic/Center - Federally Qualified Health Center (FQHC) in Providence, RI

Active since August 15, 2005
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Mar 29, 2017 (2 updates tracked since 2017).

About Prairie Ave NPPES

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

PRAIRIE AVE (NPI 1417959867) is a healthcare organization registered as a federally qualified health center (fqhc) in Providence, Rhode Island and active in the NPI registry since August 2005. The organization lists Kevin Cabral, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417959867
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE PROVIDENCE COMMUNITY HEALTH CENTERS, INC
Location Address355 PRAIRIE AVEProvidence, RI 02905-5010
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468
Phone(401) 444-0570
Fax(401) 444-0427
Organization SubpartNo
Authorized OfficialKevin CabralCfo · (401) 444-0400
Enumeration DateAugust 15, 2005
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1417959867 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
355 PRAIRIE AVE, Providence, RI 02905
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Other Names 1

Doing Business AsPrairie Ave

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.

SORAYA S. P. DARWOOD MD
Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
PAMELA GONZALEZ MS
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
LUIS DAVID RODRIGUEZ MA, LMHC
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 276-4193
MS. ARLINE A CABRERA MSW
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 921-8662
GABRIELA GARZA M.S.
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 515-8844
ALIIA AGLIULLINA MD
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
SUMI SINGH MD
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
ANDREW W. LEUKHARDT RN, CDOE
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570

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 The Providence Community Health Centers, Inc's NPI number?

The NPI number for The Providence Community Health Centers, Inc is 1417959867. It was assigned to this organization in the NPPES registry on August 15, 2005. The provider is doing business as Prairie Ave.

Where is The Providence Community Health Centers, Inc located?

The Providence Community Health Centers, Inc is located at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.

What is The Providence Community Health Centers, Inc'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 The Providence Community Health Centers, Inc was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.