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Organization

MEMORIAL HOSPITAL

Active
Other names
Emergency Room Medical Staff
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANCIS R DIETZ (CEOPRESIDENT)
(401) 729-2000
Entity
Organization

Contact information

Practice address
MEMORIAL HOSPITAL OF RHODE ISLAND, 111 BREWSTER STREET, PAWTUCKET, RI 02860-4400
(401) 729-2000
Mailing address
MEMORIAL HOSPITAL OF RHODE ISLAND, 111 BREWSTER STREET, PAWTUCKET, RI 02860-4400
(401) 729-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9001088
RI
Enumeration date
04/26/2007
Last updated
11/30/2007
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