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MEMORIAL HOSPITAL NPI 1063441640


NPI Information

NPI: 1063441640
Provider Name: MEMORIAL HOSPITAL

Doing Business As: MEMORIAL HOSPITAL OF RHODE ISLAND

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
111 BREWSTER ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 729-2836
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MEMORIAL HOSPITAL is a general acute care hospital in Pawtucket, RI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MEMORIAL HOSPITAL NPI is 1063441640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Hospital Of Rhode Island.

The provider's business location address is:

111 BREWSTER ST
PAWTUCKET, RI
ZIP 02860-400
Phone: (401) 729-2836
Fax: (401) 729-2721

The provider's authorized official is Francis R Dietz .
The authorized official title is Ceo/ President and has the following contact phone number (401) 729-2130.

The enumeration date for this NPI number is 7/3/2006 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
1208M00000XHospitalistNo
2207V00000XObstetrics & GynecologyNo
3208D00000XGeneral PracticeNo
4207Q00000XFamily MedicineNo
5207RI0200XInternal MedicineInfectious DiseaseNo
62083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
7208000000XPediatricsNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9208100000XPhysical Medicine & RehabilitationNo
10207N00000XDermatologyNo
11207P00000XEmergency MedicineNo
12207R00000XInternal MedicineNo
13207RH0003XInternal MedicineHematology & OncologyNo
14207RP1001XInternal MedicinePulmonary DiseaseNo
15282N00000XGeneral Acute Care HospitalHOS00128RHODE 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
17000979MEDICAIDMASSACHUSETTS
2410001MEDICARE OSCAR/CERTIFICATIONRHODE ISLAND
3MH11562MEDICAIDRHODE ISLAND
40709003619MEDICARE PINRHODE ISLAND
5410001MEDICAIDRHODE ISLAND
67200811MEDICAIDMASSACHUSETTS

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

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