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Contact Information

PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI02908-4728
 Phone: 401-456-2000
 Fax: 401-456-2029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Social Worker

104100000X
 

Specialist

174400000X
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PROSPECT CHARTERCARE RWMC, LLC

NPI Number 1285059287
LBN Legal business name PROSPECT CHARTERCARE RWMC, LLC
Authorized official ALFREDO SABILLO - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2014
Last updated 08/04/2025 - About 10 months ago
Identifiers
RI License # HOS00133
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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