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SOUTH COUNTY FAMILY MEDICINE INC. NPI 1225041064


NPI Information

NPI: 1225041064
Provider Name: SOUTH COUNTY FAMILY MEDICINE INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1111 MAIN ST
HOPE VALLEY, RI
ZIP 02832
Phone: (401) 539-0283
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SOUTH COUNTY FAMILY MEDICINE INC. is a family medicine in Hope Valley, RI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH COUNTY FAMILY MEDICINE INC. NPI is 1225041064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 MAIN ST
HOPE VALLEY, RI
ZIP 02832-610
Phone: (401) 539-0283
Fax: (401) 539-6741

The provider's authorized official is Jonathan Bertman .
The authorized official title is Ceo and has the following contact phone number (401) 539-0283.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/2/2011.


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
1207Q00000XFamily MedicineRI8814RHODE 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
1089082072MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLANDGROUP NUMBER
2SC42150MEDICAIDRHODE 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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