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RHODE ISLAND HOSPITAL NPI 1396849782


NPI Information

NPI: 1396849782
Provider Name: RHODE ISLAND HOSPITAL

Other Name: LIFESPAN CANCER INSTITUTE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 41D2041521

Address:
593 EDDY ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-5291
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RHODE ISLAND HOSPITAL is a hematology and oncology internal medicine in Providence, RI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. RHODE ISLAND HOSPITAL NPI is 1396849782. The provider is registered as an organization entity type.
The provider Other Name Is Lifespan Cancer Institute.

The provider's business location address is:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-5291
Fax: (401) 444-8918

The provider's authorized official is Peter K Markell .
The authorized official title is Evp & Cfo and has the following contact phone number (401) 444-7914.

The CLIA number assigned to this NPI record is 41D2041521 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/7/2006 and was last updated on 4/11/2023.


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
1261QX0203XClinic/CenterOncology, RadiationNo
2207RH0003XInternal MedicineHematology & OncologyYes

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
19003956MEDICAIDRHODE 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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