Organization
PAWTUXET VALLEY MEDICAL, INC
Active
Organization
PAWTUXET VALLEY MEDICAL, INC
Active
Other names
Pawtuxet Valley Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL F. COLLINS M.D. (PRESIDENT)
(401) 821-6800
Entity
Organization
Contact information
Practice address
982 TIOGUE AVE, COVENTRY, RI 02816-6167
(401) 821-6800
(401) 821-8513
Mailing address
982 TIOGUE AVE, COVENTRY, RI 02816-6167
(401) 821-6800
(401) 821-8513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4612
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190006
MEDICAID DME
RI
Enumeration date
05/01/2007
Last updated
02/29/2008
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