# VA HOSPITAL

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

## Provider details

- **NPI number:** 1104544949
- **Authorized official:** MR. ZHEN-MING MATTHEW FENG RN (REGISTERED NURSE)
- **Authorized official phone:** (401) 378-4801

## Contact information

- **Practice address:** 830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
- **Practice address phone:** (401) 273-7100
- **Mailing address:** 409 HOPE ST, PROVIDENCE, RI 02906-1634
- **Mailing address phone:** (401) 378-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0705X | Medical-Surgical Registered Nurse | — | NULL | Yes |
| 163WM0705X | Medical-Surgical Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2022
- **Last updated:** 08/18/2022