Organization
PROVIDENCE VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MCKENZIE (DIRECTOR)
(401) 273-7100
Entity
Organization
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
RI
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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