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WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER NPI 1720011018


NPI Information

NPI: 1720011018
Provider Name: WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1970 PAWTUCKET AVE
EAST PROVIDENCE, RI
ZIP 02914
Phone: (401) 438-6620
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WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER is an urgent care clinic center in East Providence, RI. WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER NPI is 1720011018. The provider is registered as an organization entity type.

The provider's business location address is:

1970 PAWTUCKET AVE
EAST PROVIDENCE, RI
ZIP 02914-718
Phone: (401) 438-6620
Fax: (401) 438-6621

The provider's authorized official is Juanito A Abanilla .
The authorized official title is President and has the following contact phone number (401) 438-6620.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareMD4452RHODE ISLANDYes

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

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.