THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION; NPI #1649526286

Contact Information

THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION

195 COLLYER ST
PROVIDENCE, RI 02904-1869

Phone: 401-793-4080
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION

NPI # 1649526286

LBN Legal business name THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION

Authorized official ANGELICA BARAJAS - (PHYSICAL THERAPIST ASSISTANT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/01/2012

Last updated 08/01/2012 - About 14 years ago

Identifiers

License #

00816

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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