Organization
RHODE ISLAND PRIMARY CARE, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
Family Health & Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
65 SOCKANOSSET CROSS RD, SUITE 301, CRANSTON, RI 02920-5536
(401) 943-6910
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD05719
RI
Other
Enumeration date
02/13/2007
Last updated
01/27/2015
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