| Complete Health Primary Care Llc | |
|
215 Toll Gate Rd Ste 309 Warwick RI 02886-4463 | |
| (401) 259-0340 | |
| Not Available |
| Full Name | Complete Health Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Toll Gate Rd Ste 309, Warwick, Rhode Island |
| Authorized Official Name and Position | Jeremy Hillis (OWNER) |
| Authorized Official Contact | 4012590340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health Primary Care Llc 1150 Reservoir Ave Ste 203 Cranston RI 02920-6043 Ph: (401) 259-0340 | Complete Health Primary Care Llc 215 Toll Gate Rd Ste 309 Warwick RI 02886-4463 Ph: (401) 259-0340 |
| NPI Number | 1316516768 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Medicare PECOS PAC ID | 6305248139 |
|---|---|
| Medicare Enrollment ID | O20210715002177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316516768 | NPI | - | NPPES |
| Provider Name | Taramarie L Piecyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548550171 PECOS PAC ID: 0941487185 Enrollment ID: I20121119000465 |
| Provider Name | Eniayo Egberongbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295263515 PECOS PAC ID: 6406114339 Enrollment ID: I20171221001957 |
| Provider Name | Florette Fils-aima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578000303 PECOS PAC ID: 3870843865 Enrollment ID: I20180912003581 |
| Provider Name | Jeremy Keith Hillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336496082 PECOS PAC ID: 3971845801 Enrollment ID: I20210715002308 |
| Provider Name | Brianna Dorsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306416599 PECOS PAC ID: 0345644878 Enrollment ID: I20210805002827 |
| Provider Name | Wendy Elizabeth Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451695 PECOS PAC ID: 0345466165 Enrollment ID: I20220615001963 |
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