Thundermist Health Center

LBN: Thundermist Health Center
Thundermist Health Center is an health care organization with primary practice located at 450 Clinton St , Woonsocket RI 02895-3207. The organization recently has 7 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Thundermist Health Center can be contacted via phone (401) 767-4100, or through Agudelo, Ckarla via phone (401) 767-4100.

Contact Information

Primary practice address
450 Clinton St Woonsocket RI 02895-3207
Phone: (401) 767-4100
Fax: (401) 235-6882
Website:
Map and Directions
Authorized official contact:
Name: Agudelo, Ckarla
Phone: (401) 767-4100

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X ACF01584 Rhode Island
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X ACF01584 Rhode Island

Profile Details

NPI number 1588691620
LBN Legal business name Thundermist Health Center
DBA Doing business as
Authorized official Agudelo, Ckarla
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 10th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588691620 NPPES
Rhode Island MEDICAID 1588691620
Rhode Island Other ACF01584
Rhode Island MEDICAID TH02580
Rhode Island MEDICAID 4101805

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