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Thundermist Health Center

Clinic/Center, Federally Qualified Health Center (FQHC) in Woonsocket, RI. Organization (NPI-2).

NPI number1366056830
StatusActive
Last updated in NPPESJul 28, 2026

Details

NPI
1366056830
Entity type
Organization (NPI-2)
Legal business name
Thundermist Health Center
Organization subpart
No
Enumeration date
Sep 2, 2020
Certification date
Jul 28, 2026
Last updated
Jul 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
133V00000X Dietitian, Registered––
251S00000X Community/Behavioral Health––

Practice location

450 Clinton St
Woonsocket, RI 02895-3207

Phone 401-767-4100

Mailing address

25 John A Cummings Way Ste 203
Woonsocket, RI 02895-3244

Phone 401-767-4100

Other practice locations

360 Kingstown Rd Unit 101
Narragansett, RI 02882-3258

Phone 401-789-6492

186 Providence St
West Warwick, RI 02893-2508

Phone 401-615-2800

1 River St
Wakefield, RI 02879-3214

Phone 401-767-4100

Authorized official

Ckarla Agudelo
Director Of Credentialing
4017674100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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