Hillside Avenue Family And Community Medicine, LLC
Non-Pharmacy Dispensing Site in Pawtucket, Rhode Island
1447392469- Practice location
- 727 East Ave, Pawtucket, RI 02860-6184
- Phone
- 401-724-6160
- Fax
- —
- Last updated
- October 17, 2012
Hillside Avenue Family And Community Medicine, LLC is a healthcare organization based in Pawtucket, RI. Hillside Avenue Family And Community Medicine, LLC practices in Pawtucket, RI. The NPI Number for Hillside Avenue Family And Community Medicine, LLC is 1447392469 and holds a License No. MD06978 (RI). The current practice location address for Hillside Avenue Family And Community Medicine, LLC is 727 East Ave, Pawtucket, RI 02860-6184 and can be reached out via phone at 401-724-6160.
Provider Profile Details
- NPI Number
- 1447392469
- Provider Name
- Hillside Avenue Family And Community Medicine, LLC
- Provider Entity Type
- Organization
- Address
- 727 East Ave, Pawtucket, RI 02860-6184
- Phone Number
- 401-724-6160
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx, INC.
- Authorized Official
- Kenny Heine · Director Of Operations · 858-625-2990
- Provider Enumeration Date
- February 13, 2007
- Last Update Date
- October 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 727 East Ave
Pawtucket, RI 02860-6184 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-6184
- Phone Number
- 401-724-6160
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- MD06978
- License State
- RI
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Hillside Avenue Family And Community Medicine, LLC?
The NPI number of Hillside Avenue Family And Community Medicine, LLC is 1447392469. It was assigned on February 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Hillside Avenue Family And Community Medicine, LLC?
Hillside Avenue Family And Community Medicine, LLC is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in RI under license number MD06978.
Where does Hillside Avenue Family And Community Medicine, LLC practice?
The practice location is 727 East Ave, Pawtucket, RI 02860-6184. The office can be reached at 401-724-6160 (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 1447392469 directly on the NPPES registry website.