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Contact Information

MEMORIAL HOSPITAL
111 BREWSTER ST
PAWTUCKET, RI02860-4400
 Phone: 401-729-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Neuroimaging

2084D0003X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL

NPI Number 1386863496
LBN Legal business name MEMORIAL HOSPITAL
Authorized official FRANCIS DIETZ - (CEO PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/25/2007
Last updated 11/30/2007 - About 19 years ago
Identifiers
RI Medicaid 9006134
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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