Organization
CHARTERCARE OUR LADY OF FATIMA HOSPITAL
Active
Other names
Our Lady of Fatima Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LIEBMAN (CEO)
(401) 456-2001
Entity
Organization
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
(401) 546-3028
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
(401) 546-3028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
225400000X
Rehabilitation Practitioner
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
07/30/2024
Last updated
07/31/2024
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