Organization
ROGER WILLIAMS MEDICAL CENTER
Active
Other names
ROGER WILLIAMS PULMONARY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BELCHER (PRESIDENT & CEO)
(401) 456-2525
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2057
(401) 456-2059
Mailing address
825 CHALKSTONE AVE, NORTH CAMPUS BUSINESS OFFICE, ATTN: R SOARES, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
HOS00108
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOS00108
HOSPITAL LICENSE
RI
05
—
RO88818
—
RI
Enumeration date
04/23/2012
Last updated
12/18/2013
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