Roger Williams Medical Center

LBN: Prospect Chartercare Rwmc, Llc
Roger Williams Medical Center 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 Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Prospect Chartercare Rwmc, Llc can be contacted via phone (401) 456-2000, or through Elders, Robert Jon via phone (714) 788-1249.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (401) 456-2000
Fax: (401) 456-2029
Website:
Map and Directions
Authorized official contact:
Name: Elders, Robert Jon
Phone: (714) 788-1249

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X HOS00108 Rhode Island

Profile Details

NPI number 1477978476
LBN Legal business name Prospect Chartercare Rwmc, Llc
DBA Doing business as Roger Williams Medical Center
Authorized official Elders, Robert Jon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2014
Last updated Jan 11th, 2021 - about 5 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 1477978476 NPPES
Rhode Island MEDICAID 4100004

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