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Contact Information

PRIME HEALTHCARE SERVICES LANDMARK LLC
219 CASS AVE
WOONSOCKET, RI02895-4736
 Phone: 401-769-4100
 Fax: 401-766-9575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Podiatrist

213E00000X 48 Podiatry
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Surgical

363AS0400X 97 Physician Assistant
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PRIME HEALTHCARE SERVICES LANDMARK LLC

NPI # 1457772543
LBN Legal business name PRIME HEALTHCARE SERVICES LANDMARK LLC
Authorized official STACY VIENS - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/17/2013
Last updated 01/20/2023 - About 3 years ago
Identifiers
RI Medicaid PR95770
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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