Organization
PROSPECT CHARTERCARE RWMC, LLC
Active
Other names
Roger Williams Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO ALVAREZ SABILLO (SENIOR VICE PRESIDENT)
(310) 422-6137
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 456-2029
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 456-2029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
HOS00133
RI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
02/27/2014
Last updated
08/04/2025
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