RI DEPARTMENF OF CORRECTIONS NPI 1629168901

NPI Information

RI DEPARTMENF OF CORRECTIONS is a medical physician assistant in Cranston, RI. RI DEPARTMENF OF CORRECTIONS NPI is 1629168901. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

39 HOWARD AVE
CRANSTON, RI
ZIP 02920-001
Phone: (401) 462-2268
Fax: (401) 462-2625

The provider's authorized official is Michael T. Poshkus .
The authorized official title is Medical Program Director and has the following contact phone number (401) 462-1115.

The CLIA number assigned to this NPI record is 41D2181774 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2006 and was last updated on 7/21/2022.

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:

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