Organization
BUTLER HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN E BURKE (VP OF FINANCE)
(401) 455-6275
Entity
Organization
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6498
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6498
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
Primary
HOS00124
RI
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093831646
SUB PART
RI
05
—
4104000
—
RI
Enumeration date
12/09/2005
Last updated
10/06/2023
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