Organization
ROGER WILLIAMS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADDIE KANE (CEO OF FINANCE)
(401) 456-2402
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 456-6718
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
HOS00108
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-9
BLUE CROSS
RI
05
—
4100004
—
RI
01
—
H00100
BLUE CHIP
RI
Enumeration date
12/01/2005
Last updated
08/22/2020
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