# PRIMARY MEDICAL CENTER AND WALK-IN LLC

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

## Provider details

- **NPI number:** 1225444243
- **Authorized official:** CONSTANTINE VAFIDIS MD (OWNER)
- **Authorized official phone:** (401) 434-0022

## Contact information

- **Practice address:** 684 WARREN AVE, EAST PROVIDENCE, RI 02914-1405
- **Practice address phone:** (401) 434-0022
- **Practice address fax:** (401) 434-6111
- **Mailing address:** 684 WARREN AVE, EAST PROVIDENCE, RI 02914-1405
- **Mailing address phone:** (401) 434-0022
- **Mailing address fax:** (401) 434-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 06/29/2016