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PROSPECT CHARTERCARE SJHSRI LLC NPI 1588089759


NPI Information

NPI: 1588089759
Provider Name: PROSPECT CHARTERCARE SJHSRI, LLC

Doing Business As: OUR LADY OF FATIMA HOSPITAL

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 41D0083792

Address:
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 456-3000
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PROSPECT CHARTERCARE SJHSRI, LLC is an internal medicine in North Providence, RI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROSPECT CHARTERCARE SJHSRI, LLC NPI is 1588089759. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Our Lady Of Fatima Hospital.

The provider's business location address is:

200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904-113
Phone: (401) 456-3000
Fax: (401) 456-3028

The provider's authorized official is Robert Jon Elders .
The authorized official title is Secretary and has the following contact phone number (714) 788-1249.

The CLIA number assigned to this NPI record is 41D0083792 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/25/2014 and was last updated on 12/21/2020.


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
1104100000XSocial WorkerNo
2207N00000XDermatologyNo
3207R00000XInternal MedicineYes
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207T00000XNeurological SurgeryNo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsNo
82083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
92084N0400XPsychiatry & NeurologyNeurologyNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
11208600000XSurgeryNo
12213E00000XPodiatristNo
13225400000XRehabilitation PractitionerNo
14251K00000XPublic Health or WelfareNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.