# RHODE ISLAND FREE CLINIC, INC

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

## Provider details

- **NPI number:** 1558706267
- **Authorized official:** MS. MARIE GHAZAL RN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (401) 274-6347

## Contact information

- **Practice address:** 655 BROAD ST, PROVIDENCE, RI 02907-1444
- **Practice address phone:** (401) 274-6347
- **Mailing address:** 655 BROAD ST, PROVIDENCE, RI 02907-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | ACF01570 | RI | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 05/08/2013
