| Prime Care LLC | |
|
25 Capwell Ave Pawtucket RI 02860-5623 | |
| (401) 588-4215 | |
| Not Available |
| Full Name | Prime Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Capwell Ave, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Jim Cross (OFFICE ADMIN) |
| Authorized Official Contact | 4016157311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care LLC 25 Capwell Ave Pawtucket RI 02860-5623 Ph: (401) 588-4215 | Prime Care LLC 25 Capwell Ave Pawtucket RI 02860-5623 Ph: (401) 588-4215 |
| NPI Number | 1720894942 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 7113443383 |
|---|---|
| Medicare Enrollment ID | O20250430002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720894942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Nadia Mujahid |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982803359 PECOS PAC ID: 2062680234 Enrollment ID: I20110714000649 |
| Provider Name | Ghazi G. Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972815306 PECOS PAC ID: 2062654650 Enrollment ID: I20130812000071 |
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