1588659528 NPI number — RHODE ISLAND HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588659528 NPI number — RHODE ISLAND HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RHODE ISLAND 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:
1588659528
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2023
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:
SUITE 101
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:
401-444-6779
Provider Business Mailing Address Fax Number:
401-444-6912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
593 EDDY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02903-4923
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:
CFO
Authorized Official Telephone Number:
401-444-7914

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  HOS00121 , 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: 000000022148 . This is a "BOSTON MEDICAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: A0290301 . This is a "JOHN DEERE HLTH PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: H00101 . This is a "BCHIP HOSPITAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0009790 . This is a "AETNA PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5000801 . This is a "UHCNE HOSPITAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1931 . This is a "NHPRI HOSPITAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0696 . This is a "MVP PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 990626 . This is a "CONNECTICARE PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: OP00007 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 900105 . This is a "TUFTS OP PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 07278 . This is a "GHI HMO PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000006 . This is a "BCBSRI HOSPITAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0007428 . This is a "NHPMA HOSPITAL PROV ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 4100007 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1509503 . This is a "GATEWAY HLTH PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 904803 . This is a "TUFTS IP PROVIDER ID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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