Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Hospital of Rhode Island
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS R DIETZ (CEO/ PRESIDENT)
(401) 729-2130
Entity
Organization
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2836
(401) 729-2721
Mailing address
PO BOX 1908, PAWTUCKET, RI 02862-1908
(401) 729-2836
(701) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
Primary
HOS00128
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410001
—
RI
05
—
7000979
—
MA
05
—
7200811
—
MA
05
—
MH11562
—
RI
Enumeration date
07/03/2006
Last updated
11/30/2007
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