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OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC NPI 1225543754


NPI Information

NPI: 1225543754
Provider Name: OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 41D2142246

Address:
450 VETERANS MEMORIAL PKWY UNIT 15B
EAST PROVIDENCE, RI
ZIP 02914
Phone: (401) 434-3350
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OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC is a family medicine in East Providence, 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. OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC NPI is 1225543754. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 VETERANS MEMORIAL PKWY UNIT 15B
EAST PROVIDENCE, RI
ZIP 02914-300
Phone: (401) 434-3350

The provider's authorized official is Jennifer Zuba .
The authorized official title is General Manager and has the following contact phone number (401) 626-2748.

The CLIA number assigned to this NPI record is 41D2142246 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 12/6/2017.


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
1363LA2200XNurse PractitionerAdult HealthNo
2207Q00000XFamily MedicineYes

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: 4/28/2024

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.