# VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1447213731
- **Authorized official:** MR. CRAIG POLUCHA (HUMAN RESOURCES OFFICER)
- **Authorized official phone:** (401) 273-7100

## Contact information

- **Practice address:** 830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
- **Practice address phone:** (401) 273-7100
- **Mailing address:** 21 PRISCILLA DR, CRANSTON, RI 02921-1517
- **Mailing address phone:** (401) 862-3140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN33934 | RI | Yes |

## Other

- **Enumeration date:** 04/09/2006
- **Last updated:** 08/22/2020