Organization
NORTHERN RI REHAB MANAGEMENT ASSOCIATES LP
Active
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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