Emergency Medicine Physicians Of Providence County, Llc

LBN: Emergency Medicine Physicians Of Providence County, Llc
Emergency Medicine Physicians Of Providence County, Llc is an health care organization with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Emergency Medicine Physicians Of Providence County, Llc can be contacted via phone (330) 493-4443, or through Packo, David C via phone (330) 493-4443.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (330) 493-4443
Fax: (330) 493-8677
Website:
Map and Directions
Authorized official contact:
Name: Packo, David C Doctor of Medicine (MD)
Phone: (330) 493-4443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1194764019
LBN Legal business name Emergency Medicine Physicians Of Providence County, Llc
DBA Doing business as
Authorized official Packo, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 23rd, 2007 - about 19 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 1194764019 NPPES
Rhode Island MEDICAID 9003126

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