Organization
NORTHERN RI REHAB MANAGEMENT ASSOCIATES LP
Active
Other names
RHRI Nuclear Med Dept.
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WALLBANK (CFO)
(401) 766-0800
Entity
Organization
Contact information
Practice address
116 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-7327
(401) 766-0800
(401) 762-3112
Mailing address
196 CASS AVE, WOONSOCKET, RI 02895-4712
(401) 769-4100
(401) 765-6024
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
02102
RI
207UN0901X
Nuclear Cardiology Physician
Primary
02102
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000006789
BLUE SHIELD/BLUE CHIP
RI
01
—
903936
TUFTS HEALTH PLAN (IP)
MA
05
—
RH04891
—
RI
Enumeration date
12/30/2005
Last updated
09/11/2025
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