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BLACKSTONE REHABILITATION HOSPITAL INC. NPI 1417224767


NPI Information

NPI: 1417224767
Provider Name: BLACKSTONE REHABILITATION HOSPITAL, INC.

Other Name: NORTHERN RI REHAB MANAGEMENT ASSOCIATES, LP - INTERNAL MEDICINE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 41D0857124

Address:
116 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI
ZIP 02896
Phone: (401) 766-0800
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BLACKSTONE REHABILITATION HOSPITAL, INC. is a cardiovascular disease internal medicine in North Smithfield, 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. BLACKSTONE REHABILITATION HOSPITAL, INC. NPI is 1417224767. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Northern Ri Rehab Management Associates, Lp - Internal Medicine.

The provider's business location address is:

116 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI
ZIP 02896-327
Phone: (401) 766-0800
Fax: (401) 762-3112

The provider's authorized official is James Renna .
The authorized official title is Cfo and has the following contact phone number (617) 419-4772.

The CLIA number assigned to this NPI record is 41D0857124 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.


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
1207RC0000XInternal MedicineCardiovascular DiseaseRHC02102RHODE ISLANDYes

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
1413025MEDICARE OSCAR/CERTIFICATIONRHODE 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: 5/5/2024

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