Active NPIOrganization

Prospect Chartercare Sjhsri, LLC

Internal Medicine in North Providence, Rhode Island

NPI Number1588089759
Practice location
200 High Service Ave, North Providence, RI 02904-5113
Fax
401-456-3028
Last updated
December 21, 2020

Prospect Chartercare Sjhsri, LLC is a healthcare organization based in North Providence, RI. Prospect Chartercare Sjhsri, LLC practices in North Providence, RI. The NPI Number for Prospect Chartercare Sjhsri, LLC is 1588089759. The current practice location address for Prospect Chartercare Sjhsri, LLC is 200 High Service Ave, North Providence, RI 02904-5113 and can be reached out via phone at 401-456-3000 and via fax at 401-456-3028.

Provider Profile Details

NPI Number
1588089759
Provider Name
Prospect Chartercare Sjhsri, LLC
Provider Entity Type
Organization
Address
200 High Service Ave, North Providence, RI 02904-5113
Phone Number
401-456-3000
Fax Number
401-456-3028
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Robert Jon Elders · Secretary · 714-788-1249
Other Names
Our Lady Of Fatima Hospital (Doing Business As)
Provider Enumeration Date
February 25, 2014
Last Update Date
December 21, 2020
Certification Date
December 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
Zip
02904-5113
Phone Number
401-456-3000
Fax Number
401-456-3028
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
City
North Providence
State
RI
Zip
02904-5113
Phone Number
401-456-3000
Fax Number
401-456-3028

License Information

Taxonomy (1)
Pediatrics · 208000000X
Taxonomy (2)
Social Worker · 104100000X
Taxonomy (3)
Dermatology · 207N00000X
Taxonomy (4)
Internal Medicine, Pulmonary Disease · 207RP1001X
Taxonomy (5)
Neurological Surgery · 207T00000X
Taxonomy (6)
Obstetrics & Gynecology · 207V00000X
Taxonomy (8)
Psychiatry & Neurology, Neurology · 2084N0400X
Taxonomy (9)
Psychiatry & Neurology, Psychiatry · 2084P0800X
Taxonomy (10)
Surgery · 208600000X
Taxonomy (11)
Podiatrist · 213E00000X
Taxonomy (12)
Rehabilitation Practitioner · 225400000X
Taxonomy (13)
Public Health or Welfare · 251K00000X
Taxonomy (14)
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 Prospect Chartercare Sjhsri, LLC?

The NPI number of Prospect Chartercare Sjhsri, LLC is 1588089759. It was assigned on February 25, 2014 and is currently active in the NPPES registry.

What is the specialty of Prospect Chartercare Sjhsri, LLC?

Prospect Chartercare Sjhsri, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Prospect Chartercare Sjhsri, LLC practice?

The practice location is 200 High Service Ave, North Providence, RI 02904-5113. The office can be reached at 401-456-3000 (phone) or 401-456-3028 (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 1588089759 directly on the NPPES registry website.

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