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CH01048D NORTHWEST COMMUNITY HEALTH CARE (Active)
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Main Details
Name
NORTHWEST COMMUNITY HEALTH CARE
Subdivision Name
Northwest Community Health Care d/b/a WellOne Primary Medical and Dental Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007613
340B ID
CH01048D
Grant Number
H80CS00308
Additional Details
Current Program Status
Active
Registration Date
8/17/2008
Participating Start Date
9/1/2008
Participating Approval Date
8/22/2008
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
142A Danielson Pike
Foster, RI 02825-1475
Billing Address
NORTHWEST COMMUNITY HEALTH CARE
PO BOX 312
PASCOAG, RI 02859
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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