Organization
ROGER WILLIAMS MEDICAL CENTER
Active
Other names
ROGER WILLIAMS ADDICTION MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BELCHER (PRESIDENT, CEO)
(401) 456-2025
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2363
(401) 456-6744
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
HOS00108
RI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
HOS00108
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RW18813
—
RI
Enumeration date
06/15/2006
Last updated
03/13/2013
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