1598891855 NPI number — BELTONE NEW ENGLAND

Table of content: (NPI 1598891855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598891855 NPI number — BELTONE NEW ENGLAND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BELTONE NEW ENGLAND
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:
1598891855
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
931 JEFFERSON BLVD
Provider Second Line Business Mailing Address:
SUITE 2001
Provider Business Mailing Address City Name:
WARWICK
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02886
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-921-3320
Provider Business Mailing Address Fax Number:
401-921-3327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 BALD HILL ROAD
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
WARWICK
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02886
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-737-1320
Provider Business Practice Location Address Fax Number:
401-737-2120
Provider Enumeration Date:
02/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ANDREOZZI
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
MGR PARTNER
Authorized Official Telephone Number:
401-921-3320

Provider Taxonomy Codes

  • Taxonomy code: 237700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000030378 . This is a "BMC HEALTH NET PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 004133 . This is a "SENIOR WHOLE HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 602286 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: BN51003 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: CV9488 . This is a "HEALTHNET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 10378 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 276588 . This is a "BLUE CROSS BLUE SHIELD OF" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9735160 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15480001 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: A84506 . This is a "MULTI PLANS" identifier . This identifiers is of the category "OTHER".




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