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Contact Information

ST. JOSEPH HEALTH SERVICES OF RI
21 PEACE ST
PROVIDENCE, RI02907-1510
 Phone: 401-456-4325
 Fax: 401-456-4250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for ST. JOSEPH HEALTH SERVICES OF RI

NPI Number 1134264062
LBN Legal business name ST. JOSEPH HEALTH SERVICES OF RI
Authorized official MICHAEL CONKLIN - (SNR. VISE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/20/2007
Last updated 01/25/2013 - About 13 years ago
Identifiers
RI License # HOS00110
RI Medicaid SJ48636
RI Other 509025253 MEDICARE P-TAN
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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