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  5. The Providence Community Health Centers, Inc.

The Providence Community Health Centers, Inc.

Company Details

Name: The Providence Community Health Centers, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Mar 1976 (49 years ago)
Identification Number: 000028183
ZIP code: 02905
County: Providence County
Principal Address: 375 ALLENS AVENUE, PROVIDENCE, RI, 02905, USA
Purpose: HEALTH CARE
Historical names: Providence Ambulatory Health Care Foundation, Inc.
The Providence Community Health Centers, Inc.
The Providence Community Health Centers

Industry & Business Activity

NAICS

813212 Voluntary Health Organizations

This U.S. industry comprises establishments primarily engaged in raising funds for health related research, such as disease (e.g., heart, cancer, diabetes) prevention, health education, and patient services. Learn more at the U.S. Census Bureau

Companies doing Voluntary health organizations

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013628965 2022-12-12 2022-12-12 375 ALLENS AVE, PROVIDENCE, RI, 029055010, US 145 BEAUFORT ST, PROVIDENCE, RI, 029083929, US

Contacts
Phone +1 401-780-2511
Fax 4017802565
Phone +1 888-612-7242
Fax 4014440421

Authorized person
Name BRENDA CHARPENTIER
Role CREDENTIALING SPECIALIST
Phone 4017802511

Taxonomy
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493002WI5AH87SMWM59 000028183 US-RI GENERAL ACTIVE No data

Addresses
Legal C/O MERRILL R. THOMAS, 375 ALLENS AVENUE, PROVIDENCE, US-RI, US, 02905
Headquarters C/O Merrill R. Thomas, 375 Allens Avenue, Providence, US-RI, US, 02905

Registration details
Registration Date 2013-03-11
Last Update 2023-08-04
Status LAPSED
Next Renewal 2021-04-30
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 000028183

Agent

Name Role Address
DIANA M. DUCHARME Agent 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
MERRILL R THOMAS PRESIDENT 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

VP AND CHIEF OF STAFF

Name Role Address
SUSANA CONKLIN VP AND CHIEF OF STAFF 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

VP AND CIO

Name Role Address
JAY DECOSTA VP AND CIO 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

VP AND CFO

Name Role Address
KEVIN CABRAL VP AND CFO 375 ALLENS AVE PROVIDENCE, RI 02905 USA

BOARD CHAIRMAN

Name Role Address
CARL BROWN BOARD CHAIRMAN 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

VP AND CHIEF TRANSFORMATION OFFICER

Name Role Address
KIMBERLY O'CONNELL ESQ. VP AND CHIEF TRANSFORMATION OFFICER 375 ALLENS AFVENUE PROVIDENCE, RI 02905 USA

VP AND CHIEF HUMAN RESOURCE OFFICER

Name Role Address
CHERYL PERRY VP AND CHIEF HUMAN RESOURCE OFFICER 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

BOARD - VICE CHAIR

Name Role Address
AMBER BICHUM BOARD - VICE CHAIR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

BOARD - SECRETARY

Name Role Address
MEGHAN HOPKINS ESQ BOARD - SECRETARY 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

BOARD - TREASURER

Name Role Address
RAFAEL YEPEZ BOARD - TREASURER 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

VP AND CHIEF MEDICAL OFFICER

Name Role Address
NADINE HEWUDALIGE MD VP AND CHIEF MEDICAL OFFICER 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

DIRECTOR

Name Role Address
CHRISTINA ZANFAGNA DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
MICHAEL CANCILLIERE DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
RUSSELL CORCORAN MD DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
JOSEPH ESPAT MD DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
RICHARD HEMPHILL DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
CASSANDRA FEENEY ESQ DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
EMILLIAN EGBUCHE DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
MAYLEM ESTRELLA DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
YEISHA MARRERO DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
BYRON MONGE DIRECTOR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

Events

Type Date Old Value New Value
Name Change 2013-03-07 The Providence Community Health Centers The Providence Community Health Centers, Inc.
Name Change 2011-12-01 The Providence Community Health Centers, Inc. The Providence Community Health Centers
Merged 2011-12-01 Chad Brown Health Center on The Providence Community Health Centers, Inc.
Name Change 1998-12-09 Providence Ambulatory Health Care Foundation, Inc. The Providence Community Health Centers, Inc.

Filings

Number Name File Date
202446665700 Statement of Change of Registered/Resident Agent 2024-02-16
202446660660 Annual Report 2024-02-16
202335162880 Annual Report 2023-05-02
202217964740 Annual Report 2022-05-30
202198741130 Annual Report 2021-06-28
202045787290 Annual Report 2020-07-21
201901204940 Annual Report 2019-07-03
201869519490 Annual Report 2018-06-13
201745609020 Annual Report 2017-06-16
201600851580 Annual Report 2016-06-20

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
010108995 Department of Commerce 11.300 - INVESTMENTS FOR PUBLIC WORKS AND ECONOMIC DEVELOPMENT FACILITIES 2010-11-30 2012-05-31 PRAIRIE AVENUE-PCHC
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw PCHC
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-5010, UNITED STATES
Obligated Amount 2992000.00
Non-Federal Funding 7675341.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF21173 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2012-06-30 HEALTH CARE AND OTHER FACILITIES
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-5010, UNITED STATES
Obligated Amount 396000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
D1BIT16654 Department of Health and Human Services 93.888 - SPECIALLY SELECTED HEALTH PROJECTS 2009-09-01 2010-08-31 CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-5010, UNITED STATES
Obligated Amount 94050.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS13476 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-5010, UNITED STATES
Obligated Amount 1454000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12149 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-5010, UNITED STATES
Obligated Amount 531847.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
97197001 Environmental Protection Agency 66.818 - BROWNFIELDS ASSESSMENT AND CLEANUP COOPERATIVE AGREEMENTS 2008-10-01 2011-09-30 THIS ASSISTANCE AGREEMENT WILL PROVIDE FUNDING TO THE PROVIDENCE COMMUNITY HEALTH CENTER, IN PROVIDENCE RHODE ISLAND, TO CLEANUP A BROWNFIELDS SITE
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw PROVIDENCE COMMUNITY HEALTH CENTERS
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905
Obligated Amount 400000.00
Non-Federal Funding 80000.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF11032 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2008-09-01 2010-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905
Obligated Amount 241231.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00057 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2001-12-01 2010-11-30 HEALTH CENTER CLUSTER
Recipient THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient Name Raw THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
Recipient UEI YH3HHG1AG4K8
Recipient DUNS 075679175
Recipient Address 375 ALLENS AVENUE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-5010, UNITED STATES
Obligated Amount 63289163.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
17924903 0112300 1993-12-08 ALLEN BERRY HEALTH CENTER, 202 PRAIRIE AVE., PROVIDENCE, RI, 02905
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1994-01-25
Case Closed 1995-01-18

Related Activity
Type Complaint
Activity Nr 76999481
Health Yes

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19101030 C01 IIA
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Current Penalty 937.0
Initial Penalty 1875.0
Nr Instances 1
Nr Exposed 22
Gravity 03
Citation ID 01001B
Citaton Type Serious
Standard Cited 19101030 C01 III
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Nr Instances 1
Nr Exposed 22
Gravity 03
Citation ID 01002
Citaton Type Serious
Standard Cited 19101030 D02 III
Issuance Date 1994-02-15
Abatement Due Date 1994-04-01
Current Penalty 750.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 01003
Citaton Type Serious
Standard Cited 19101030 D04 IIA
Issuance Date 1994-02-15
Abatement Due Date 1994-02-19
Current Penalty 937.0
Initial Penalty 1875.0
Nr Instances 1
Nr Exposed 3
Gravity 03
Citation ID 01004A
Citaton Type Serious
Standard Cited 19101030 G02 IV
Issuance Date 1994-02-15
Abatement Due Date 1994-04-07
Current Penalty 937.0
Initial Penalty 1875.0
Nr Instances 1
Nr Exposed 22
Gravity 03
Citation ID 01004B
Citaton Type Serious
Standard Cited 19101030 H02 ID
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Nr Instances 1
Nr Exposed 22
Gravity 03
Citation ID 01005A
Citaton Type Serious
Standard Cited 19101200 E01
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Current Penalty 564.0
Initial Penalty 1125.0
Nr Instances 1
Nr Exposed 22
Gravity 01
Citation ID 01005B
Citaton Type Serious
Standard Cited 19101200 E01 II
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Nr Instances 1
Nr Exposed 22
Gravity 01
Citation ID 01005C
Citaton Type Serious
Standard Cited 19101200 E02
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Nr Instances 1
Nr Exposed 22
Gravity 01
Citation ID 02001A
Citaton Type Other
Standard Cited 19040002 A
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Current Penalty 375.0
Initial Penalty 750.0
Nr Instances 1
Nr Exposed 30
Gravity 00
Citation ID 02001B
Citaton Type Other
Standard Cited 19040002 B02
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Nr Instances 1
Nr Exposed 30
Gravity 00
Citation ID 02001C
Citaton Type Other
Standard Cited 19040006
Issuance Date 1994-02-15
Abatement Due Date 1994-03-20
Nr Instances 1
Nr Exposed 30
Gravity 00

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0368134 Corporation Unconditional Exemption 375 ALLENS AVE, PROVIDENCE, RI, 02905-5010 1978-10
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 156874561
Income Amount 123949930
Form 990 Revenue Amount 122614374
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name PROVIDENCE COMMUNITY HEALTH CENTERS INC
EIN 05-0368134
Tax Period 201512
Filing Type E
Return Type 990
File View File

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Related by address

375 ALLENS AVENUE, PROVIDENCE, RI, 02905, USA

B&S Mill, Inc. PCHC BEAMAN AND SMITH MILL MASTER TENANT, LLC PCHC BEAMAN AND SMITH MILL, LLC PROVIDENCE CHOICE CARE, LLC PCHC Atwood, Inc.

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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