Organization
STATE OF RHODE ISLAND
Active
Other names
Eleanor Slater Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD R CHAREST (DIRECTOR)
(401) 462-0660
Entity
Organization
Contact information
Practice address
111 HOWARD AVE, CRANSTON, RI 02920-3001
(401) 462-1405
(401) 462-3555
Mailing address
PO BOX 8293, CRANSTON, RI 02920-0293
(401) 462-1405
(401) 462-3555
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
HOS00102
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000 2900-001
BLUE SHIELD & PLAN 65
RI
01
—
0000000027
BLUE CROSS PLAN 65
RI
01
—
00004102001
HEALTHMATE 2000
RI
05
—
4102001
—
RI
01
—
53-09425
UNITED HEALTH CARE
RI
01
—
CP00402578 001
MEDICARE CHOICE
—
01
—
RI22693
RI MED CTR PHY GROUP
RI
Enumeration date
08/23/2005
Last updated
09/02/2022
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