PROVIDENCE COLLEGE STUDENT HEALTH SERVICES NPI 1558508598

NPI Information

PROVIDENCE COLLEGE STUDENT HEALTH SERVICES is a health service clinic center in Providence, RI. PROVIDENCE COLLEGE STUDENT HEALTH SERVICES NPI is 1558508598. The provider is registered as an organization entity type.

The provider's business location address is:

549 RIVER AVE
PROVIDENCE, RI
ZIP 02918-000
Phone: (401) 865-2422

The provider's authorized official is Catherine Kelleher .
The authorized official title is Director Of Health Services and has the following contact phone number (401) 865-2422.

The CLIA number assigned to this NPI record is 41D2202729 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2009 and was last updated on 1/13/2009.

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:

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