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BLACKSTONE MEDICAL CENTER INC. NPI 1447528856


NPI Information

NPI: 1447528856
Provider Name: BLACKSTONE MEDICAL CENTER, INC.

Other Name: LANDMARK MEDICAL CENTER, INC. - INTERNAL MEDICINE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
115 CASS AVE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 769-4100
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BLACKSTONE MEDICAL CENTER, INC. is a cardiovascular disease internal medicine in Woonsocket, RI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BLACKSTONE MEDICAL CENTER, INC. NPI is 1447528856. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Landmark Medical Center, Inc. - Internal Medicine.

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 12/13/2011 and was last updated on 12/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease00117RHODE 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.