Veterans Affairs Medical Center
Exclusive Provider Organization in Warwick, RI. Organization (NPI-2).
NPI number1790791069
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790791069
- Entity type
- Organization (NPI-2)
- Legal business name
- Veterans Affairs Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | CSW 00303 | RI | Yes |
Practice location
132 Northbridge AveWarwick, RI 02886-2824
Phone 401-733-9276
Mailing address
132 Northbridge AveWarwick, RI 02886
Phone 401-733-9276
Authorized official
Daniel F Sullivan
Social Worker
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