=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366301616
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPREHENSIVE COMMUNITY ACTION, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2026
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 206 BUTTONWOODS AVE
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886-7541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-732-9090
-----------------------------------------------------
Fax | 401-732-2790
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 206 BUTTONWOODS AVE
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886-7541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-732-9090
-----------------------------------------------------
Fax | 401-732-2790
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATING OFFICER
-----------------------------------------------------
Name | GINA E EUBANK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 401-562-8305
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------