Roger Williams Physician Assistant Group

LBN: Roger Williams Medical Center
Roger Williams Physician Assistant Group 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 / Surgery, which is considered as the primary health care specialty. Roger Williams Medical Center can be contacted via phone (401) 456-2000, or through Belcher, Kenneth via phone (401) 456-2000.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Fax: (401) 456-6718
Website:
Authorized official contact:
Name: Belcher, Kenneth

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1518987981
LBN Legal business name Roger Williams Medical Center
DBA Doing business as Roger Williams Physician Assistant Group
Authorized official Belcher, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 18th, 2013 - about 13 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 1518987981 NPPES
Rhode Island MEDICAID 9002981

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