Provider Demographics
NPI:1245456532
Name:WESTBAY COMMUNITY ACTION, INC.
Entity type:Organization
Organization Name:WESTBAY COMMUNITY ACTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTCEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GATTEGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-732-4666
Mailing Address - Street 1:224 BUTTONWOODS AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7541
Mailing Address - Country:US
Mailing Address - Phone:401-732-4666
Mailing Address - Fax:401-732-6965
Practice Address - Street 1:205 BUTTONWOODS AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7506
Practice Address - Country:US
Practice Address - Phone:401-732-4660
Practice Address - Fax:401-739-2761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI251B00000X251B00000X
RI251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIWB47553Medicaid
RIWC32651Medicaid