1598065633 NPI number — WOMEN'S CENTER 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 1598065633 NPI number — WOMEN'S CENTER OF RHODE ISLAND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMEN'S CENTER 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:
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:
1598065633
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 603300
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:
02906-2548
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-861-2761
Provider Business Mailing Address Fax Number:
401-861-2762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 BLODGETT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAWTUCKET
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-861-2761
Provider Business Practice Location Address Fax Number:
401-861-2762
Provider Enumeration Date:
10/22/2010

Additional Information

Authorized Official

Authorized Official Last Name:
LYONS
Authorized Official First Name:
KRISTIN
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
401-861-2761

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , 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: 1073763504 . This is a "NPI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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