Wickford Family Practice Llc

LBN: Wickford Family Practice Llc
Wickford Family Practice Llc is an health care organization with primary practice located at 320 Phillips St Ste 102 , North Kingstown RI 02852-5149. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Wickford Family Practice Llc can be contacted via phone (603) 667-6765, or through Hogue, Maxwell via phone (603) 667-6765.

Contact Information

Primary practice address
320 Phillips St Ste 102 North Kingstown RI 02852-5149
Phone: (603) 667-6765
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogue, Maxwell NURSE PRACTITIONER
Phone: (603) 667-6765

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1710698667
LBN Legal business name Wickford Family Practice Llc
DBA Doing business as
Authorized official Hogue, Maxwell NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2022
Last updated Feb 1st, 2023 - about 3 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 1710698667 NPPES
Rhode Island MEDICAID 1235789231
Rhode Island Other APRN02399

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