Organization
MEETING STREET CENTER
Active
Organization
MEETING STREET CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE MALONE (DIRECTOR OF FINANCE)
(401) 533-9100
Entity
Organization
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
SS NHPRC NUMBER
RI
01
—
2092
EI NHPRC NUMBER
RI
01
—
292177
EI BLUE CROSS NUMBER
RI
01
—
412296
EI BCHIP NUMBER
RI
01
—
4600103
SL UHP NUMBER
RI
01
—
6400144
PT/OT UHP NUMBER
RI
05
—
9009994
—
RI
01
—
99947
SS BLUE CROSS
RI
05
—
ES01788
—
RI
05
—
MS59102
—
RI
Enumeration date
06/24/2006
Last updated
02/15/2008
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