Organization
ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND
Active
Other names
PSYCHIATRIC HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAEL E CONKLIN JR. CFO (SNR. VICE PRESIDENT)
(401) 456-3000
Entity
Organization
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3649
(401) 752-8116
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, ATTN; R. SOARES, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110
RI
2084P0800X
Psychiatry Physician
Primary
110
RI
273R00000X
Psychiatric Hospital Unit
HOS00110
RI
282N00000X
General Acute Care Hospital
HOS00110
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SJ09468
—
RI
Enumeration date
10/24/2006
Last updated
02/06/2013
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