Organization
ST JOSEPH HEALTH SERVICES OF RI
Active
Other names
HOSPITALIST GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E CONKLIN JR. (SNR. VICE PRESIDENT, CFO)
(401) 456-3000
Entity
Organization
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Mailing address
200 HIGH SERVICE AVE, ADMINISTRATION OFFICE, ATTN: R. SOARES, NORTH PROVIDENCE, RI 02904-5113
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
HOS00110
RI
207R00000X
Internal Medicine Physician
HOS00110
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
HOS00110
RI
208M00000X
Hospitalist Physician
Primary
HO00110
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOS00110
HOSPITAL LICENSE NUMBER
RI
Enumeration date
06/06/2012
Last updated
06/06/2012
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