# PURPLE SHIELD MEDICAL LLC

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

## Provider details

- **NPI number:** 1801487491
- **Authorized official:** MR. JOSEPH MOSS (PRESIDENT)
- **Authorized official phone:** (508) 728-4178

## Contact information

- **Practice address:** 3649 POST RD STE 2, WARWICK, RI 02886-7236
- **Practice address phone:** (508) 536-2730
- **Practice address fax:** (508) 675-9920
- **Mailing address:** 3649 POST RD STE 2, WARWICK, RI 02886-7236
- **Mailing address phone:** (508) 536-2730
- **Mailing address fax:** (508) 675-9920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 03/07/2022