Organization
PHYSICIANS OF RHODE ISLAND ENTERPRISES INCORPORATED
Active
Organization
PHYSICIANS OF RHODE ISLAND ENTERPRISES INCORPORATED
Active
Other names
PRIME
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
10 NATE WHIPPLE HW 101, CUMBERLAND, RI 02864
(401) 658-2020
(401) 658-3612
Mailing address
10 NATE WHIPPLE HW 101, CUMBERLAND, RI 02864
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD10232
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106426
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7008326
—
RI
Enumeration date
10/24/2006
Last updated
08/22/2020
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