# VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1790791143
- **Authorized official:** MRS. EILEEN M CHMIELEWSKI LPN (LPN)
- **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:** 3046 RIVERSIDE AVE, SOMERSET, MA 02726-5322
- **Mailing address phone:** (508) 673-3002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | LPN08256 | RI | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020