PRIME HEALTHCARE SERVICES - LANDMARK LLC NPI 1902227614

NPI Information

NPI: 1902227614
Provider Name: PRIME HEALTHCARE SERVICES - LANDMARK ,LLC

Doing Business As: LANDMARK EKG DEPT

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

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

PRIME HEALTHCARE SERVICES - LANDMARK ,LLC 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. PRIME HEALTHCARE SERVICES - LANDMARK ,LLC NPI is 1902227614. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Landmark Ekg Dept.

The provider's business location address is:

115 CASS AVE
WOONSOCKET, RI
ZIP 02895-705
Phone: (401) 769-4100
Fax: (401) 765-6024

The provider's authorized official is Richard Charest .
The authorized official title is President and has the following contact phone number (401) 769-4100.

The enumeration date for this NPI number is 12/23/2013 and was last updated on 11/4/2014.

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	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9006486	MEDICAID	RHODE 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

NPI Synchronization or Removal

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