OrganizationActive
Community Health and Immunization Services
NPI 1972916229 · Community Health Worker · Providence, RI
Provider details
- NPI number
- 1972916229
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Paul Fishburn, Chief Operating Officer(480) 646-9020
- License
- MD12480 (RI)
Specialties & taxonomies
Other Service Providers
Practice location
100 Highland Ave
Suite 303
Providence, RI 02906-2753
Phone: (877) 358-3733
Fax: (877) 440-1795
Approximate (ZIP-level) locationGet directions
Mailing address
668 N 44th St Ste 100w
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Chis
Registry dates
- Enumerated
- 2014-06-04
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.