| Stillwater Primary Care Ltd | |
|
712 Putnam Pike Unit 2 Chepachet RI 02814-1404 | |
| (401) 710-4280 | |
| (401) 710-4277 |
| Full Name | Stillwater Primary Care Ltd |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 712 Putnam Pike Unit 2, Chepachet, Rhode Island |
| Authorized Official Name and Position | Joseph Desrosiers (PRESIDENT) |
| Authorized Official Contact | 4017104280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Primary Care Ltd 712 Putnam Pike Unit 2 Chepachet RI 02814-1404 Ph: (401) 710-4280 | Stillwater Primary Care Ltd 712 Putnam Pike Unit 2 Chepachet RI 02814-1404 Ph: (401) 710-4280 |
| NPI Number | 1174141345 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174141345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
Heritage Podiatry Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Money Hill Rd, Chepachet, RI 02814 Phone: 401-567-9288 |