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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