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BLACKSTONE MEDICAL CENTER INC. NPI 1033464276


NPI Information

NPI: 1033464276
Provider Name: BLACKSTONE MEDICAL CENTER, INC.

Other Name: BLACKSTONE MEDICAL CENTER PSYCH

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
115 CASS AVE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 769-4100
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BLACKSTONE MEDICAL CENTER, INC. is an internal medicine in Woonsocket, 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. BLACKSTONE MEDICAL CENTER, INC. NPI is 1033464276. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Blackstone Medical Center Psych.

The provider's business location address is:

115 CASS AVE
WOONSOCKET, RI
ZIP 02895-705
Phone: (401) 769-4100

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 enumeration date for this NPI number is 7/13/2012 and was last updated on 7/30/2012.


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
1103G00000XClinical Neuropsychologist00117RHODE ISLANDNo
2103TP0016XPsychologistPrescribing (Medical)00117RHODE ISLANDNo
32084N0400XPsychiatry & NeurologyNeurology00117RHODE ISLANDNo
42084P0800XPsychiatry & NeurologyPsychiatry00117RHODE ISLANDNo
5363L00000XNurse Practitioner00117RHODE ISLANDNo
6207R00000XInternal Medicine00117RHODE 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1410011MEDICARE 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: 11/14/2023

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.