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Contact Information

EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI02908-4728
 Phone: 330-493-4443
 Fax: 330-493-8677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC

NPI # 1194764019
LBN Legal business name EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
Authorized official DAVID PACKO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2006
Last updated 10/23/2007 - About 19 years ago
Identifiers
RI Medicaid 9003126
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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