| South County Family Medicine Inc. | |
|
1111 Main St Hope Valley RI 02832-1610 | |
| (401) 539-0283 | |
| (401) 539-6741 |
| Full Name | South County Family Medicine Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Main St, Hope Valley, Rhode Island |
| Authorized Official Name and Position | Jonathan Bertman (CEO) |
| Authorized Official Contact | 4015390283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Family Medicine Inc. 1111 Main St Hope Valley RI 02832-1610 Ph: (401) 539-0283 | South County Family Medicine Inc. 1111 Main St Hope Valley RI 02832-1610 Ph: (401) 539-0283 |
| NPI Number | 1225041064 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225041064 | NPI | - | NPPES |
| SC42150 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RI8814 (Rhode Island) | Primary |
Wood River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 Main St, Hope Valley, RI 02832 Phone: 401-539-2461 |