OrganizationActive
Blackstone Valley Community Health Care
NPI 1104046226 · Federally Qualified Health Center (FQHC) · Pawtucket, RI
Provider details
- NPI number
- 1104046226
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Cristina Pacheco, Ceo
- License
- ACG01536 (RI)
Practice location
210 Main St
Pawtucket, RI 02860-4008
Phone: (401) 312-9892
Fax: (401) 312-0139
Mailing address
39 East Ave
Pawtucket, RI 02860-4003
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.