PROSPECT CHARTERCARE SJHSRI LLC NPI 1588089759

NPI Information

NPI: 1588089759
Provider Name: PROSPECT CHARTERCARE SJHSRI, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Doing Business As: OUR LADY OF FATIMA HOSPITAL
CLIA Number: 41D0083792
Address: 200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 456-3000

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NPI Details

PROSPECT CHARTERCARE SJHSRI, LLC is an internal medicine in North Providence, RI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROSPECT CHARTERCARE SJHSRI, LLC NPI is 1588089759. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Our Lady Of Fatima Hospital.

The provider's business location address is:

200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904-113
Phone: (401) 456-3000
Fax: (401) 456-3028

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 41D0083792 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/25/2014 and was last updated on 12/21/2020.

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	Primary
1	104100000X	Social Worker		No
2	207N00000X	Dermatology		No
3	207R00000X	Internal Medicine		Yes
4	207RP1001X	Internal Medicine	Pulmonary Disease	No
5	207T00000X	Neurological Surgery		No
6	207V00000X	Obstetrics & Gynecology		No
7	208000000X	Pediatrics		No
8	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	No
9	2084N0400X	Psychiatry & Neurology	Neurology	No
10	2084P0800X	Psychiatry & Neurology	Psychiatry	No
11	208600000X	Surgery		No
12	213E00000X	Podiatrist		No
13	225400000X	Rehabilitation Practitioner		No
14	251K00000X	Public Health or Welfare		No

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: 11/21/2025

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