Prospect Chartercare Rwmc, LLC
Internal Medicine, Cardiovascular Disease in Providence, RI. Organization (NPI-2).
NPI number1326463548
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1326463548
- Entity type
- Organization (NPI-2)
- Legal business name
- Prospect Chartercare Rwmc, LLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2014
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 133N00000X | Nutritionist | – | – |
Other names
- Roger Williams Medical Center (Doing Business As)
Practice location
825 Chalkstone AveProvidence, RI 02908-4728
Phone 401-456-2000 · Fax 401-456-2029
Mailing address
825 Chalkstone AveProvidence, RI 02908-4728
Phone 401-456-2000 · Fax 401-456-2029
Authorized official
Robert Jon Elders
Secretary
7147881249
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