1689018467 NPI number — UNIVERSITY OF RHODE ISLAND

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 1689018467 NPI number — UNIVERSITY OF RHODE ISLAND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF RHODE ISLAND
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:
6
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:
1689018467
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 QUARRY RD
Provider Second Line Business Mailing Address:
POTTER BLDG
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02881-1116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-874-4775
Provider Business Mailing Address Fax Number:
401-874-2586

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 QUARRY RD
Provider Second Line Business Practice Location Address:
POTTER BLDG
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02881-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-874-4775
Provider Business Practice Location Address Fax Number:
401-874-7611
Provider Enumeration Date:
04/23/2013

Additional Information

Authorized Official

Authorized Official Last Name:
REYNOLDS
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
401-874-5155

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X , with the licence number: PHB00001 , 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: 2088227 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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