Organization
PROSPECT CHARTERCARE RWMC, LLC
Active
Other names
Roger Williams Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLI JEAN BROUSSEAU (NURSE PRATITIONER)
(401) 456-2000
Entity
Organization
Contact information
Practice address
84 COLVINTOWN RD, COVENTRY, RI 02816-8516
(401) 480-7002
(401) 861-9596
Mailing address
84 COLVINTOWN RD, COVENTRY, RI 02816-8516
(401) 480-7002
(401) 861-9596
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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