Organization
BAYSIDE FAMILY HEALTHCARE, INC.
Active
Organization
BAYSIDE FAMILY HEALTHCARE, INC.
Active
Other names
Bayside Family Healthcare Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE TAYLOR RN, (EXECUTIVE DIRECTOR)
(401) 295-9706
Entity
Organization
Contact information
Practice address
308 CALLAHAN RD, NORTH KINGSTOWN, RI 02852-7739
(401) 295-9706
(401) 295-0920
Mailing address
308 CALLAHAN RD, NORTH KINGSTOWN, RI 02852-7739
(401) 295-9706
(401) 295-0920
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
ACF01503
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN01825
DENTAL LICENSE
RI
01
—
RG33703
MEDICAID
RI
Enumeration date
04/23/2007
Last updated
03/07/2023
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