National Provider Identifier Database

PRIME HEALTHCARE SERVICES LANDMARK LLC
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

PRIME HEALTHCARE SERVICES-LANDMARK LLC
116 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI02896-7327
Phone: 401-766-0800
Fax: 401-762-3112
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for PRIME HEALTHCARE SERVICES-LANDMARK LLC

NPI Number 1902883275
Legal business name
LBN
PRIME HEALTHCARE SERVICES-LANDMARK LLC
Authorized official RICHARD CHAREST - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/28/2005
Last updated 02/18/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • RI License #: 02102
  • MA Medicaid: 1102966
  • MA Medicaid: 1210289
  • RI Medicaid: 4103025
  • RI Medicaid: OP03025
  • MA Other: 902958 HARVARD PILG;RIM HEALTH
  • MA Other: 903936 TUFTS HEALTH PLAN (IP)
  • MA Other: 906008 TUFTS HEALTH PLAN (OP)
  • RI Other: 004713 BLUE CHIP
  • RI Other: 0000000035 BLUE CROSS
  • RI Other: 000000001938 NEIGHBORHOOD HEALTH PLAN
  • RI Other: 050473637 TRICARE
  • RI Other: 5000236 UNITED HEALTHCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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