Organization
ROGER WILLIAMS HOSPITAL
Active
Other names
ROGER WILLIAMS PRIMARY CARE PHYICIAN GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BELCHER (A/R ANALYST)
(401) 456-2000
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2677
(401) 456-6742
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025163
BLUE CROSS OF RHODE ISLAN
RI
Enumeration date
05/31/2006
Last updated
09/09/2011
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