OrganizationActive
The Providence Community Health Centers, Inc
NPI 1417959867 · Federally Qualified Health Center (FQHC) · Providence, RI
Provider details
- NPI number
- 1417959867
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Cabral, Cfo(401) 444-0400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
355 Prairie Ave
Providence, RI 02905-5010
Phone: (401) 444-0570
Fax: (401) 444-0427
Street-level locationGet directions
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Other names (DBA / former)
- Doing business as
- Prairie Ave
Registry dates
- Enumerated
- 2005-08-15
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.