Organization
PRIME HEALTHCARE SERVICES-LANDMARK LLC
Active
Other names
Rehabilitation Hospital of Rhode Island
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHAREST (CEO)
(401) 766-0800
Entity
Organization
Contact information
Practice address
116 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-7327
(401) 766-0800
(401) 762-3112
Mailing address
196 CASS AVE, WOONSOCKET, RI 02895-4712
(401) 769-4100
(401) 765-6024
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
02102
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001938
NEIGHBORHOOD HEALTH PLAN
RI
01
—
0000000035
BLUE CROSS
RI
01
—
004713
BLUE CHIP
RI
01
—
050473637
TRICARE
RI
05
—
1102966
—
MA
05
—
1210289
—
MA
05
—
4103025
—
RI
01
—
5000236
UNITED HEALTHCARE
RI
01
—
902958
HARVARD PILG;RIM HEALTH
MA
01
—
903936
TUFTS HEALTH PLAN (IP)
MA
01
—
906008
TUFTS HEALTH PLAN (OP)
MA
05
—
OP03025
—
RI
Enumeration date
12/28/2005
Last updated
02/18/2014
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