# PROVIDENCE VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1932127016
- **Authorized official:** MR. WILLIAM ANTHONY SILVIA RN (PRIMARY CARE RN)
- **Authorized official phone:** (401) 273-7100

## Contact information

- **Practice address:** 17 KIWANIS ROAD, WEST WARWICK, RI 02893-5521
- **Practice address phone:** (401) 826-2778
- **Mailing address:** 17 KIWANIS RD, WEST WARWICK, RI 02893-5521
- **Mailing address phone:** (401) 826-2778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 21102 | RI | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020