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Contact Information

RHODE ISLAND INTEGRATED MEDICINE
521 PARK AVE
CRANSTON, RI02910-2346
 Phone: 401-781-3374
 Fax: 401-781-3376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for RHODE ISLAND INTEGRATED MEDICINE

NPI Number 1104848670
LBN Legal business name RHODE ISLAND INTEGRATED MEDICINE
Authorized official VICTOR PEDRO - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2006
Last updated 07/23/2008 - About 18 years ago
Identifiers
RI License # OT0018
RI Other 413445 BLUE CHIP PROV NUMBER
RI Other 31492 BLUE CROSS PROV NUMBER
RI Other OT00018 RI STATE LICENCE
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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