Active NPIOrganization

Blackstone Medical Center, INC.

Internal Medicine in Woonsocket, Rhode Island

NPI Number1033464276
Practice location
115 Cass Ave, Woonsocket, RI 02895-4705
Fax
—
Last updated
July 30, 2012

Blackstone Medical Center, INC. is a healthcare organization based in Woonsocket, RI. Blackstone Medical Center, INC. practices in Woonsocket, RI. The NPI Number for Blackstone Medical Center, INC. is 1033464276 and holds a License No. 00117 (RI). The current practice location address for Blackstone Medical Center, INC. is 115 Cass Ave, Woonsocket, RI 02895-4705 and can be reached out via phone at 401-769-4100.

Provider Profile Details

NPI Number
1033464276
Provider Name
Blackstone Medical Center, INC.
Provider Entity Type
Organization
Address
115 Cass Ave, Woonsocket, RI 02895-4705
Phone Number
401-769-4100
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
Yes
Parent Organization
Steward Medical Holdings, LLC
Authorized Official
Mr. James Renna · Cfo · 617-419-4772
Other Names
Blackstone Medical Center Psych (Other Name)
Provider Enumeration Date
July 13, 2012
Last Update Date
July 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Cass Ave
Woonsocket, RI 02895-4705
Zip
02895-4705
Phone Number
401-769-4100
Woonsocket, RI 02895Get directions →

Provider Business Mailing Address Details

Address
219 Cass Avenue
Woonsocket, RI 02895-4741
City
Woonsocket
State
RI
Zip
02895-4741
Phone Number
401-769-4100

License Information

License Number (1)
00117
License State (1)
RI
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
00117
License State (2)
RI
Taxonomy (2)
Psychologist, Prescribing (Medical) · 103TP0016X
License Number (3)
00117
License State (3)
RI
Taxonomy (3)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (4)
00117
License State (4)
RI
Taxonomy (4)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (5)
00117
License State (5)
RI
Taxonomy (5)
Nurse Practitioner · 363L00000X
License Number (6)
00117
License State (6)
RI
Taxonomy (6)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blackstone Medical Center, INC.?

The NPI number of Blackstone Medical Center, INC. is 1033464276. It was assigned on July 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Blackstone Medical Center, INC.?

Blackstone Medical Center, INC. is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in RI under license number 00117.

Where does Blackstone Medical Center, INC. practice?

The practice location is 115 Cass Ave, Woonsocket, RI 02895-4705. The office can be reached at 401-769-4100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033464276 directly on the NPPES registry website.

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