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MEMORIAL HOSPITAL NPI 1396954640


NPI Information

NPI: 1396954640
Provider Name: MEMORIAL HOSPITAL

Other Name: PRIMARY CARE CTR.. OF QUALITY HILL AND WOMENS HEALTH SPECIALISTS

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
111 BREWSTER STREET
MEMORIAL HOSPITAL OF RHODE ISLAND
PAWTUCKET, RI
ZIP 02860
Phone: (401) 729-2000
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MEMORIAL HOSPITAL is a general practice in Pawtucket, RI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEMORIAL HOSPITAL NPI is 1396954640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Primary Care Ctr.. Of Quality Hill And Womens Health Specialists.

The provider's business location address is:

111 BREWSTER STREET
MEMORIAL HOSPITAL OF RHODE ISLAND
PAWTUCKET, RI
ZIP 02860
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 5/22/2007 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
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
3208D00000XGeneral PracticeYes

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
10709003591MEDICARE PINRHODE ISLAND
20709003608MEDICARE PINRHODE ISLAND
3MH11562MEDICAIDRHODE 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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