NPI 1033464276 · live from the CMS NPI Registry
Blackstone Medical Center, INC.
Internal Medicine in Woonsocket, RI. National Provider Identifier 1033464276, active.
NPI record
| NPI | 1033464276 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 115 Cass Ave, Woonsocket, RI 02895 |
| Practice phone | 401-769-4100 |
| Mailing address | 219 Cass Avenue, Woonsocket, RI 02895 |
| Enumerated | July 13, 2012 |
| Last updated | July 30, 2012 |
| Authorized official | James Renna, Cfo |
| Other names | Blackstone Medical Center Psych |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 00117 (RI) |
| Psychologist, Prescribing (Medical) | 103TP0016X | 00117 (RI) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 00117 (RI) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 00117 (RI) |
| Nurse Practitioner | 363L00000X | 00117 (RI) |
| Internal Medicine primary | 207R00000X | 00117 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.