| Organization Name: | BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. |
| NPI Number: | 1275847766 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND J. LAVOIE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 9 Chestnut St Central Falls |
| State: | RI US |
| Postal Code: | 028632005 |
| Phone Number: | 4017220081 |
| Fax Number: | 4017242109 |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 11/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | ACF01528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |