Active NPIOrganization

Liberty Advanced Integrative Care, LLC

Clinic/Center, Primary Care in Charlestown, Rhode Island

NPI Number1417723933
Practice location
3769 Old Post RD Ste C, Charlestown, RI 02813-2571
Fax
877-501-2230
Last updated
August 22, 2024

Liberty Advanced Integrative Care, LLC is a healthcare organization based in Charlestown, RI. Liberty Advanced Integrative Care, LLC practices in Charlestown, RI. The NPI Number for Liberty Advanced Integrative Care, LLC is 1417723933. The current practice location address for Liberty Advanced Integrative Care, LLC is 3769 Old Post RD Ste C, Charlestown, RI 02813-2571 and can be reached out via phone at 401-854-7955 and via fax at 877-501-2230.

Provider Profile Details

NPI Number
1417723933
Provider Name
Liberty Advanced Integrative Care, LLC
Provider Entity Type
Organization
Address
3769 Old Post RD Ste C, Charlestown, RI 02813-2571
Phone Number
401-854-7955
Fax Number
877-501-2230
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Parent Organization
Liberty Advanced Integrative Care
Authorized Official
Dr. Wendy Holland, APRN · Clinical Director/Ceo · 401-854-7955
Provider Enumeration Date
November 27, 2023
Last Update Date
August 22, 2024
Certification Date
August 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3769 Old Post RD Ste C
Charlestown, RI 02813-2571
Zip
02813-2571
Phone Number
401-854-7955
Fax Number
877-501-2230
Charlestown, RI 02813Get directions →

Provider Business Mailing Address Details

Address
3769 Old Post RD Ste C
Charlestown, RI 02813-2571
City
Charlestown
State
RI
Zip
02813-2571
Phone Number
401-854-7955
Fax Number
877-501-2230

License Information

Taxonomy
Clinic/Center, Primary Care · 261QP2300X · 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 Liberty Advanced Integrative Care, LLC?

The NPI number of Liberty Advanced Integrative Care, LLC is 1417723933. It was assigned on November 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Liberty Advanced Integrative Care, LLC?

Liberty Advanced Integrative Care, LLC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).

Where does Liberty Advanced Integrative Care, LLC practice?

The practice location is 3769 Old Post RD Ste C, Charlestown, RI 02813-2571. The office can be reached at 401-854-7955 (phone) or 877-501-2230 (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 1417723933 directly on the NPPES registry website.

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