Healthcare Provider Details

I. General information

NPI: 1740199355
Provider Name (Legal Business Name): PASCOAG HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 PAWTUCKET AVE
PAWTUCKET RI
02860-6057
US

IV. Provider business mailing address

588 PAWTUCKET AVE
PAWTUCKET RI
02860-6057
US

V. Phone/Fax

Practice location:
  • Phone: 401-751-3800
  • Fax: 401-751-6350
Mailing address:
  • Phone: 401-751-3800
  • Fax: 401-751-6350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL A BIGNEY
Title or Position: CFO
Credential: CPA
Phone: 401-751-3800