Providence VA Medical Center
Clinic/Center, Adult Mental Health in Providence, Rhode Island
1114940681- Practice location
- 830 Chalkstone Avenue, Providence, RI 02098-4799
- Phone
- 401-273-7100
- Fax
- 401-457-3354
- Last updated
- August 22, 2020
Providence VA Medical Center is a healthcare organization based in Providence, RI. Providence VA Medical Center practices in Providence, RI. The NPI Number for Providence VA Medical Center is 1114940681 and holds a License No. 18598 (RI). The current practice location address for Providence VA Medical Center is 830 Chalkstone Avenue, Providence, RI 02098-4799 and can be reached out via phone at 401-273-7100 and via fax at 401-457-3354.
Provider Profile Details
- NPI Number
- 1114940681
- Provider Name
- Providence VA Medical Center
- Provider Entity Type
- Organization
- Address
- 830 Chalkstone Avenue, Providence, RI 02098-4799
- Phone Number
- 401-273-7100
- Fax Number
- 401-457-3354
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Dr. Allan D. Erickson, MD · Chief Staff · 401-273-7100
- Other Names
- Southeastern Psychiatric Associates (Doing Business As)
- Provider Enumeration Date
- July 25, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 830 Chalkstone Avenue
Providence, RI 02098-4799 - City
- Providence
- State
- Rhode Island
- Zip
- 02098-4799
- Phone Number
- 401-273-7100
- Fax Number
- 401-457-3354
Provider Business Mailing Address Details
- Address
- 830 Chalkstone Avenue
Providence, RI 02098-4799 - City
- Providence
- State
- RI
- Zip
- 02098-4799
- Phone Number
- 401-273-7100
- Fax Number
- 401-457-3354
License Information
- License Number
- 18598
- License State
- RI
- Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near Providence, RI
View all Clinic/Center, Adult Mental Health providers in Providence →- David M Coletta, PA-CPhysician Assistant · NPI 1942975123
- Frances Kontoulis, PHARM DPharmacist · NPI 1174422158
- Claribel Cruz, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1497628929
- Olive Branch Nutrition Therapy LLCDietitian, Registered · NPI 1205598414
- Victoria M FlynnPhysician Assistant · NPI 1750122842
- Evans A Duah, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1235951153
Frequently Asked Questions
What is the NPI number of Providence VA Medical Center?
The NPI number of Providence VA Medical Center is 1114940681. It was assigned on July 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Providence VA Medical Center?
Providence VA Medical Center is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X), licensed in RI under license number 18598.
Where does Providence VA Medical Center practice?
The practice location is 830 Chalkstone Avenue, Providence, RI 02098-4799. The office can be reached at 401-273-7100 (phone) or 401-457-3354 (fax).
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 1114940681 directly on the NPPES registry website.