Organization
PRIME HEALTHCARE SERVICES - LANDMARK ,LLC
Active
Other names
Landmark EKG Dept
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHAREST (PRESIDENT)
(401) 769-4100
Entity
Organization
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
(401) 765-6024
Mailing address
196 CASS AVE, WOONSOCKET, RI 02895-4712
(401) 769-4100
(401) 765-6024
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006486
—
RI
Enumeration date
12/23/2013
Last updated
11/04/2014
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