# MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEMORIAL HOSPITAL OF RHODE ISLAND
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295885622
- **Authorized official:** MR. FRANCIS DIETZ (CEO-PRESIDENT)
- **Authorized official phone:** (401) 729-2000

## Contact information

- **Practice address:** 111 BREWSTER ST, PAWTUCKET, RI 02860-4400
- **Practice address phone:** (401) 729-2000
- **Practice address fax:** (401) 729-2156
- **Mailing address:** PO BOX 1908, PAWTUCKET, RI 02862-1908
- **Mailing address phone:** (401) 729-2000
- **Mailing address fax:** (401) 729-2156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 09/10/2007