| Wood River Health Services, Inc. | |
|
823 Main Street Hope Valley RI 02832-1920 | |
| (401) 539-2461 | |
| (401) 539-2663 |
| Full Name | Wood River Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 823 Main Street, Hope Valley, Rhode Island |
| Authorized Official Name and Position | Tracy L Pion (DIRECTOR OF FINANCIAL OPERATIONS) |
| Authorized Official Contact | 4015392461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood River Health Services, Inc. 823 Main Street Hope Valley RI 02832-1920 Ph: (401) 539-2461 | Wood River Health Services, Inc. 823 Main Street Hope Valley RI 02832-1920 Ph: (401) 539-2461 |
| NPI Number | 1417947383 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 12/12/2025 |
| Certification Date | 12/12/2025 |
| Medicare PECOS PAC ID | 2466417506 |
|---|---|
| Medicare Enrollment ID | O20041130000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417947383 | NPI | - | NPPES |
| Provider Name | Jonathan I Gates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922060466 PECOS PAC ID: 2062455892 Enrollment ID: I20100121000711 |
| Provider Name | Christopher Anthony Campagnari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771562 PECOS PAC ID: 7214980697 Enrollment ID: I20101028000536 |
| Provider Name | Robert E Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003853268 PECOS PAC ID: 4082655295 Enrollment ID: I20101201000035 |
| Provider Name | Lisa Menard Manlove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447226022 PECOS PAC ID: 6507053113 Enrollment ID: I20101208001138 |
| Provider Name | Shital Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649525403 PECOS PAC ID: 5799088605 Enrollment ID: I20160127001851 |
| Provider Name | Tiffanie A Waldeck |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881905727 PECOS PAC ID: 6204194335 Enrollment ID: I20171219003231 |
| Provider Name | Wayne M Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336392679 PECOS PAC ID: 4082777453 Enrollment ID: I20190115002256 |
| Provider Name | Nadia Duvilaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619914413 PECOS PAC ID: 3577521012 Enrollment ID: I20190405001364 |
| Provider Name | Hayley Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578159992 PECOS PAC ID: 8527466143 Enrollment ID: I20211013000561 |
| Provider Name | Kathryn Roccon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710641022 PECOS PAC ID: 1254720402 Enrollment ID: I20211110001305 |
| Provider Name | Milton Liu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326359266 PECOS PAC ID: 9830498039 Enrollment ID: I20211111002465 |
| Provider Name | Rachel Mae Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477210656 PECOS PAC ID: 3870984339 Enrollment ID: I20211217000815 |
| Provider Name | Michael Mccarten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033198767 PECOS PAC ID: 1658508197 Enrollment ID: I20220202001004 |
| Provider Name | Michele Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326573312 PECOS PAC ID: 0345527768 Enrollment ID: I20221031000521 |
| Provider Name | Aprile R Daley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033830633 PECOS PAC ID: 4789057852 Enrollment ID: I20230310001793 |
| Provider Name | Maria Mcgurrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306422779 PECOS PAC ID: 3072906171 Enrollment ID: I20230605000836 |
| Provider Name | Alexa Janice Allard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689357378 PECOS PAC ID: 7810351012 Enrollment ID: I20230906002460 |
| Provider Name | Calli Duthrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659156651 PECOS PAC ID: 3971957937 Enrollment ID: I20230925001205 |
| Provider Name | Nevatha Mathialagan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821755596 PECOS PAC ID: 8325492341 Enrollment ID: I20230926000172 |
| Provider Name | Tegwyn R Lacz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942687694 PECOS PAC ID: 6709223969 Enrollment ID: I20240322003102 |
| Provider Name | Lauren Nicole Cheng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427536689 PECOS PAC ID: 1456898899 Enrollment ID: I20240803000236 |
Champs Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Mechanic St, Hope Valley, RI 02832 Phone: 401-477-6513 | |
Peter Gray Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Moscow Brook Trl, Hope Valley, RI 02832 Phone: 401-714-2280 |