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CH010480 NORTHWEST COMMUNITY HEALTH CARE (Active)
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Main Details
Name
NORTHWEST COMMUNITY HEALTH CARE
Subdivision Name
DBA WellOne Primary Medical and Dental Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001681
340B ID
CH010480
Grant Number
H80CS00308
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
9/26/2003
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Northwest Community Health Care
Peter Bancroft, President & CEO
(401) 285-5119
Primary Contact
Northwest Community Health Care
melissa johnson, Administrative Project Manager
(401) 567-0800 Ext: 181
Addresses
Street Address
36 BRIDGE WAY
PASCOAG, RI 02859
Billing Address
Northwest Community Health Care
PO Box 312
Pascoag, RI 02859-0312
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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