PROSPECT CHARTERCARE PHYSICIANS LLC NPI 1437544111

NPI Information

NPI: 1437544111
Provider Name: PROSPECT CHARTERCARE PHYSICIANS LLC

Doing Business As: CHARTERCARE MEDICAL ASSOC. INFUSION CENTER

Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
50 MAUDE ST
PROVIDENCE, RI
ZIP 02908
Phone: (401) 456-2360
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PROSPECT CHARTERCARE PHYSICIANS LLC is an infusion therapy clinic center in Providence, RI. PROSPECT CHARTERCARE PHYSICIANS LLC NPI is 1437544111. The provider is registered as an organization entity type.
The provider Is Doing Business As Chartercare Medical Assoc. Infusion Center.

The provider's business location address is:

50 MAUDE ST
PROVIDENCE, RI
ZIP 02908-325
Phone: (401) 456-2360

The provider's authorized official is Robert Jon Elders .
The authorized official title is Secretary and has the following contact phone number (714) 788-1249.

The CLIA number assigned to this NPI record is 41D2168734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2015 and was last updated on 1/11/2021.

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
1	261QI0500X	Clinic/Center	Infusion Therapy			Yes

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

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