# MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEMORIAL HOSPITAL HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134228307
- **Authorized official:** MR. MICHAEL RYAN (CFO)
- **Authorized official phone:** (401) 729-2260

## Contact information

- **Practice address:** 111 BREWSTER ST, PAWTUCKET, RI 02860-4400
- **Practice address phone:** (401) 312-2500
- **Practice address fax:** (401) 312-2502
- **Mailing address:** 111 BREWSTER ST, PAWTUCKET, RI 02860-4400
- **Mailing address phone:** (401) 312-2500
- **Mailing address fax:** (401) 312-2502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HNC02289 | RI | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 05/22/2013