| Coventry Primary Care Associates, Inc. | |
|
1620 Nooseneck Hill Rd Coventry RI 02816-6705 | |
| (401) 821-6981 | |
| (401) 821-1352 |
| Full Name | Coventry Primary Care Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1620 Nooseneck Hill Rd, Coventry, Rhode Island |
| Authorized Official Name and Position | Timothy Joseph Manown (PRESIDENT) |
| Authorized Official Contact | 4018216981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coventry Primary Care Associates, Inc. 1620 Nooseneck Hill Rd Coventry RI 02816-6705 Ph: (401) 821-6981 | Coventry Primary Care Associates, Inc. 1620 Nooseneck Hill Rd Coventry RI 02816-6705 Ph: (401) 821-6981 |
| NPI Number | 1659418671 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/06/2015 |
| Medicare PECOS PAC ID | 8820150030 |
|---|---|
| Medicare Enrollment ID | O20081223000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659418671 | NPI | - | NPPES |
| CP46184 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy J Manown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538279880 PECOS PAC ID: 0345302550 Enrollment ID: I20100914000299 |
| Provider Name | Donald B Hebb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297033 PECOS PAC ID: 7517029721 Enrollment ID: I20100914000409 |
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