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MEMORIAL HOSPITAL NPI 1386863496


NPI Information

NPI: 1386863496
Provider Name: MEMORIAL HOSPITAL

Other Name: MEMORIAL HOSPITAL EEG GROUP

Classification: Psychiatry & Neurology - 2084D0003X
Entity Type: Organization

Specialization: Diagnostic Neuroimaging

Address:
111 BREWSTER ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 729-2000
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MEMORIAL HOSPITAL is a diagnostic neuroimaging psychiatry neurology in Pawtucket, RI. The provider is a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. MEMORIAL HOSPITAL NPI is 1386863496. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Memorial Hospital Eeg Group.

The provider's business location address is:

111 BREWSTER ST
PAWTUCKET, RI
ZIP 02860-400
Phone: (401) 729-2000

The provider's authorized official is Francis R Dietz .
The authorized official title is Ceo President and has the following contact phone number (401) 729-2000.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 11/30/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084D0003XPsychiatry & NeurologyDiagnostic NeuroimagingYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19006134MEDICAIDRHODE ISLAND
20299006134MEDICARE PINRHODE 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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