LANDMARK MEDICAL CENTER NPI 1043297112

NPI Information

NPI: 1043297112
Provider Name: LANDMARK MEDICAL CENTER

Doing Business As: LANDMARK MC EKG DEPT.

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
115 CASS AVE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 769-4100
Get Directions

LANDMARK MEDICAL CENTER is a cardiovascular disease internal medicine in Woonsocket, RI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LANDMARK MEDICAL CENTER NPI is 1043297112. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Landmark Mc Ekg Dept..

The provider's business location address is:

115 CASS AVE
WOONSOCKET, RI
ZIP 02895-705
Phone: (401) 769-4100
Fax: (401) 765-6024

The provider's authorized official is Richard Charest .
The authorized official title is President and has the following contact phone number (401) 769-4100.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	00117	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	RHODE ISLAND	TRICARE
2	069006486	MEDICARE ID-TYPE UNSPECIFIED	RHODE ISLAND	MEDICARE
3	0000006486	OTHER	RHODE ISLAND	BLUE SHIELD/BLUE CHIP
4	903288	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN (OP)
5	903289	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN (IP)
6	9006486	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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