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Contact Information

ST JOSEPH HEALTH SERVICES OF RI
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI02904-5113
 Phone: 401-456-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ST JOSEPH HEALTH SERVICES OF RI

NPI # 1831450865
LBN Legal business name ST JOSEPH HEALTH SERVICES OF RI
Authorized official MICHAEL CONKLIN - (SNR. VICE PRESIDENT, CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2012
Last updated 06/06/2012 - About 14 years ago
Identifiers
RI License # HO00110
RI License # HOS00110
RI Other HOS00110 HOSPITAL LICENSE NUMBER
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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