Organization
LANDMARK MEDICAL CENTER
Active
Parent organization
LANDMARK MEDICAL CENTER
Other names
LAndmark Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDMARK MEDICAL CENTER
Authorized official
MR. RICHARD R CHAREST (PRESIDENT & CEO)
(401) 769-4100
Entity
Organization
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
219 CASS AVE, WOONSOCKET, RI 02895-4741
(401) 769-4100
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS00309
RI
103TP0016X
Prescribing (Medical) Psychologist
PS00331
RI
207R00000X
Internal Medicine Physician
Primary
MD8368
RI
207RH0003X
Hematology & Oncology Physician
10608
RI
2083X0100X
Occupational Medicine Physician
MD10684
RI
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
MD05036
RI
363L00000X
Nurse Practitioner
NPP37310
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006838
—
RI
Enumeration date
05/03/2007
Last updated
01/22/2013
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