1457346413 NPI number — NEWPORT HOSPITAL

Table of content: (NPI 1457346413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457346413 NPI number — NEWPORT HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWPORT HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457346413
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 ELLENFIELD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PROVIDENCE
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02905-4513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-444-5640
Provider Business Mailing Address Fax Number:
401-444-5462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 FRIENDSHIP ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02840-2271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-444-6966
Provider Business Practice Location Address Fax Number:
401-444-5462
Provider Enumeration Date:
09/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MARKELL
Authorized Official First Name:
PETER
Authorized Official Middle Name:
K
Authorized Official Title or Position:
E VP & CFO
Authorized Official Telephone Number:
401-444-7914

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  127 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RI0014 . This is a "HEALTHNET NE PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000005 . This is a "BCBSRI PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1858 . This is a "MVP PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5000226 . This is a "UHCNE HOSPITAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 905155 . This is a "TUFTS INPT PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 000000023994 . This is a "BOSTON MED CTR PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0060318 . This is a "AETNA PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 4100006 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: A0290102 . This is a "JOHN DEERE HLTH PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: OP00006 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 900253 . This is a "TUFTS OP PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1929 . This is a "NHPRI PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 999076 . This is a "CONNECTICARE PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: H00103 . This is a "BLUE CHIP PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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