Provider Type Icon

PRIME HEALTHCARE SERVICES LANDMARK LLC NPI 1518388651


NPI Information

NPI: 1518388651
Provider Name: PRIME HEALTHCARE SERVICES LANDMARK LLC

Doing Business As: LANDMARK HEALTH SERVICES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
219 CASS AVE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 769-4100
Get Directions

PRIME HEALTHCARE SERVICES LANDMARK LLC is a hematology and oncology internal medicine in Woonsocket, RI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. PRIME HEALTHCARE SERVICES LANDMARK LLC NPI is 1518388651. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Landmark Health Services.

The provider's business location address is:

219 CASS AVE
WOONSOCKET, RI
ZIP 02895-736
Phone: (401) 769-4100
Fax: (401) 766-9575

The provider's authorized official is Stacy Viens .
The authorized official title is Practice Administrator and has the following contact phone number (401) 769-4100.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 1/11/2017.


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
1207RH0003XInternal MedicineHematology & OncologyYes
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
4213ES0103XPodiatristFoot & Ankle SurgeryNo
5208600000XSurgeryNo
62086S0129XSurgeryVascular SurgeryNo

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
1U100131494MEDICARE PINRHODE ISLAND
2PR95788MEDICAIDRHODE 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.