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Contact Information

PROVIDENCE METRO TREATMENT CENTER
160 NARRAGANSETT AVE
PROVIDENCE, RI02907-3367
 Phone: 401-941-4488
 Fax: 401-941-9797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROVIDENCE METRO TREATMENT CENTER

NPI Number 1851506091
LBN Legal business name PROVIDENCE METRO TREATMENT CENTER
Authorized official LARRY KACZMAREK - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 12/03/2007 - About 19 years ago
Identifiers
RI License # 614, 614.1
RI License # CMC00033
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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