Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GREATER PROVIDENCE CHAPTER,RIARC
Active
Organization
GREATER PROVIDENCE CHAPTER,RIARC
Active
Other names
JOHN E. FOGARTY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COSTA BS,CPP (CONTROLLER)
(401) 353-6990
Entity
Organization
Contact information
Practice address
181 RIDGE RD, SMITHFIELD, RI 02917-2504
(401) 231-3950
(401) 353-0290
Mailing address
220 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI 02911-3196
(401) 353-6990
(401) 353-0290
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
135
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JF02833
—
RI
Enumeration date
03/22/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up