# PROSPECT CHARTERCARE RWMC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roger Williams Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528469707
- **Authorized official:** MS. HOLLI JEAN BROUSSEAU (NURSE PRATITIONER)
- **Authorized official phone:** (401) 456-2000

## Contact information

- **Practice address:** 84 COLVINTOWN RD, COVENTRY, RI 02816-8516
- **Practice address phone:** (401) 480-7002
- **Practice address fax:** (401) 861-9596
- **Mailing address:** 84 COLVINTOWN RD, COVENTRY, RI 02816-8516
- **Mailing address phone:** (401) 480-7002
- **Mailing address fax:** (401) 861-9596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2014
- **Last updated:** 09/08/2014