# ST ANNE'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dbaTiverton Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700051513
- **Authorized official:** DR. CHARLES H CUMMINGS III DO (PHYSICIAN)
- **Authorized official phone:** (401) 625-1001

## Contact information

- **Practice address:** 821 MAIN RD, TIVERTON, RI 02878-1334
- **Practice address phone:** (401) 625-1001
- **Practice address fax:** (401) 625-1584
- **Mailing address:** 821 MAIN RD, TIVERTON, RI 02878-1334
- **Mailing address phone:** (401) 625-1001
- **Mailing address fax:** (401) 625-1584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 06/23/2008