Organization
MEMORIAL HOSPITAL
Active
Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Hospital of Rhode Island
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS R DIETZ (PRESIDENT-CEO)
(401) 729-2000
Entity
Organization
Contact information
Practice address
111 BREWSTER STREET, PAWTUCKET, RI 02860
(401) 729-2000
Mailing address
111 BREWSTER STREET, PAWTUCKET, RI 02860
(401) 729-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH11562
—
RI
Enumeration date
05/22/2007
Last updated
12/31/2007
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