PRIME HEALTHCARE SERVICES-LANDMARK LLC; NPI #1902883275

Contact Information

PRIME HEALTHCARE SERVICES-LANDMARK LLC

116 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI 02896-7327

Phone: 401-766-0800
Fax: 401-762-3112
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation Hospital	283X00000X	A0[7]	Hospital-Rehabilitation (PPS excluded)

Indicates primary specialty

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NPI Profile & details for PRIME HEALTHCARE SERVICES-LANDMARK LLC

NPI Number 1902883275

LBN Legal business name PRIME HEALTHCARE SERVICES-LANDMARK LLC

Authorized official RICHARD CHAREST - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/28/2005

Last updated 02/18/2014 - About 12 years ago

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 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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PRIME HEALTHCARE SERVICES-LANDMARK LLC

Contact Information

Specialty

Rehabilitation Hospital

NPI Profile & details for PRIME HEALTHCARE SERVICES-LANDMARK LLC

Reviews for PRIME HEALTHCARE SERVICES-LANDMARK LLC