Active NPIOrganization

Prospect Chartercare Rwmc, LLC

Internal Medicine, Addiction Medicine in Providence, Rhode Island

NPI Number1760977136
Practice location
825 Chalkstone Ave, Providence, RI 02908-4728
Fax
401-456-2029
Last updated
January 11, 2021

Prospect Chartercare Rwmc, LLC is a healthcare organization based in Providence, RI. Prospect Chartercare Rwmc, LLC practices in Providence, RI. The NPI Number for Prospect Chartercare Rwmc, LLC is 1760977136. The current practice location address for Prospect Chartercare Rwmc, LLC is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2000 and via fax at 401-456-2029.

Provider Profile Details

NPI Number
1760977136
Provider Name
Prospect Chartercare Rwmc, LLC
Provider Entity Type
Organization
Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone Number
401-456-2000
Fax Number
401-456-2029
Primary Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X
Organization Subpart
No
Authorized Official
Robert Jon Elders · Secretary · 714-788-1249
Provider Enumeration Date
June 27, 2018
Last Update Date
January 11, 2021
Certification Date
January 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
Zip
02908-4728
Phone Number
401-456-2000
Fax Number
401-456-2029
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
City
Providence
State
RI
Zip
02908-4728
Phone Number
401-456-2000
Fax Number
401-456-2029

License Information

Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X · 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 Rwmc, LLC?

The NPI number of Prospect Chartercare Rwmc, LLC is 1760977136. It was assigned on June 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Prospect Chartercare Rwmc, LLC?

Prospect Chartercare Rwmc, LLC is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X).

Where does Prospect Chartercare Rwmc, LLC practice?

The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2000 (phone) or 401-456-2029 (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 1760977136 directly on the NPPES registry website.

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