Active NPIOrganization

Prospect Chartercare Sjhsri, LLC

Internal Medicine, Addiction Medicine in N Providence, Rhode Island

NPI Number1821656034
Practice location
200 High Service Ave, N Providence, RI 02904-5113
Fax
—
Last updated
January 15, 2021

Prospect Chartercare Sjhsri, LLC is a healthcare organization based in N Providence, RI. Prospect Chartercare Sjhsri, LLC practices in N Providence, RI. The NPI Number for Prospect Chartercare Sjhsri, LLC is 1821656034. The current practice location address for Prospect Chartercare Sjhsri, LLC is 200 High Service Ave, N Providence, RI 02904-5113 and can be reached out via phone at 310-943-4500.

Provider Profile Details

NPI Number
1821656034
Provider Name
Prospect Chartercare Sjhsri, LLC
Provider Entity Type
Organization
Address
200 High Service Ave, N Providence, RI 02904-5113
Phone Number
310-943-4500
Primary Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X
Organization Subpart
No
Authorized Official
Robert Jon Elders · Secretary · 714-788-1249
Provider Enumeration Date
June 3, 2019
Last Update Date
January 15, 2021
Certification Date
January 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 High Service Ave
N Providence, RI 02904-5113
Zip
02904-5113
Phone Number
310-943-4500
N 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
310-943-4500

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 Sjhsri, LLC?

The NPI number of Prospect Chartercare Sjhsri, LLC is 1821656034. It was assigned on June 3, 2019 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, Addiction Medicine (code 207RA0401X).

Where does Prospect Chartercare Sjhsri, LLC practice?

The practice location is 200 High Service Ave, N Providence, RI 02904-5113. The office can be reached at 310-943-4500 (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 1821656034 directly on the NPPES registry website.

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