Organization
MEMORIAL HOSPITAL
Active
Other names
MEMORIAL HOSPITAL HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RYAN (CFO)
(401) 729-2260
Entity
Organization
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 312-2500
(401) 312-2502
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 312-2500
(401) 312-2502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HNC02289
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4107025
—
RI
01
—
417025
MEDICARE - HOME CARE
RI
Enumeration date
09/22/2006
Last updated
05/22/2013
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