# ROGER WILLIAMS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063853661
- **Authorized official:** DR. SCOTT SOUTHER (RESIDENT PHYSICIAN)
- **Authorized official phone:** (781) 733-6871

## Contact information

- **Practice address:** 825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
- **Practice address phone:** (401) 456-2033
- **Mailing address:** 825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | LP02922 | RI | Yes |

## Other

- **Enumeration date:** 07/11/2013
- **Last updated:** 07/11/2013