| St. Joseph Health Services Of Rhode Island | |
|
200 High Service Ave North Providence RI 02904-5113 | |
| (401) 456-3649 | |
| (401) 752-8116 |
| Full Name | St. Joseph Health Services Of Rhode Island |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 200 High Service Ave, North Providence, Rhode Island |
| Authorized Official Name and Position | Michael E Conklin (SNR. VICE PRESIDENT) |
| Authorized Official Contact | 4014563000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Health Services Of Rhode Island 825 Chalkstone Ave N. Campus Business Office, Attn; R. Soares Providence RI 02908-4728 Ph: (401) 456-2525 | St. Joseph Health Services Of Rhode Island 200 High Service Ave North Providence RI 02904-5113 Ph: (401) 456-3649 |
| NPI Number | 1326122557 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326122557 | NPI | - | NPPES |
| SJ09468 | Medicaid | RI |
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