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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