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Contact Information

ROGER WILLIAMS MEDICAL CENTER
825 CHALKSTONE AVE
PROVIDENCE, RI02908-4728
 Phone: 401-456-2363
 Fax: 401-456-6744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ROGER WILLIAMS MEDICAL CENTER

NPI # 1457395998
LBN Legal business name ROGER WILLIAMS MEDICAL CENTER
Authorized official KENNETH BELCHER - (PRESIDENT, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 03/13/2013 - About 13 years ago
Identifiers
RI License # HOS00108
RI Medicaid RW18813
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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