Blackstone Valley Center For Internal Medicine, Inc

LBN: Blackstone Valley Center For Internal Medicine, Inc
Blackstone Valley Center For Internal Medicine, Inc is an health care organization with primary practice located at 191 Social St Suite 840, Woonsocket RI 02895-3240. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Blackstone Valley Center For Internal Medicine, Inc can be contacted via phone (401) 762-2535, or through Yearwood, Greigstone Montgomery via phone (401) 762-2535.

Contact Information

Primary practice address
191 Social St Suite 840 Woonsocket RI 02895-3240
Fax: (401) 762-2858
Website:
Authorized official contact:
Name: Yearwood, Greigstone Montgomery Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1659338655
LBN Legal business name Blackstone Valley Center For Internal Medicine, Inc
DBA Doing business as
Authorized official Yearwood, Greigstone Montgomery Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 1st, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659338655 NPPES
Rhode Island MEDICAID 9020093

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