| NPI | 1063574135 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-15 |
| Last Updated | 2026-03-06 |
| Authorized Official | Cristina Pacheco CEO Phone: 4013129892 |
| Mailing Address | 39 East Ave Pawtucket, RI 02860-4003 United States Phone: (401) 312-9892 | Fax: (401) 312-0139 📍 View Map |
| Primary Practice Address | 39 East Ave Pawtucket, RI 02860-4003 United States Phone: (401) 312-9892 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | RI | BV01759 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 172V00000X – Community Health Worker | — | — |
| No | 251S00000X – Community/Behavioral Health | RI | ACF01536 |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | RI | ACF01536 |
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About NPI 1063574135
Blackstone Valley Community Health Care, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1063574135. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Pawtucket, RI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063574135?
NPI 1063574135 belongs to Blackstone Valley Community Health Care, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Pawtucket, RI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063574135 active?
The current status of NPI 1063574135 in the NPPES registry is Active. The record was last updated on 2026-03-06.
What specialty is NPI 1063574135?
NPI 1063574135 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063574135?
You can verify NPI 1063574135 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063574135?
The primary practice address on file for NPI 1063574135 is 39 East Ave, Pawtucket, RI 02860-4003. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063574135 issued?
NPI 1063574135 was first issued (enumerated) on 2006-12-15. The NPPES record was last updated on 2026-03-06.
Practice Location Map
Blackstone Valley Community Health Care, Inc. is located at 39 East Ave, Pawtucket, RI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Blackstone Valley Community Health Care, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063574135. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Community/Behavioral Health | ACF01536 | RI |
| Clinic/Center, Federally Qualified Health Center (FQHC) | ACF01536 | RI |