| Chartercare Roger Williams Medical Center | |
|
825 Chalkstone Ave Providence RI 02908-4728 | |
| (401) 456-2000 | |
| (401) 456-2029 |
| Full Name | Chartercare Roger Williams Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 825 Chalkstone Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Jeffrey Liebman (CEO) |
| Authorized Official Contact | 4014563001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chartercare Roger Williams Medical Center 825 Chalkstone Ave Providence RI 02908-4728 Ph: (401) 456-2000 | Chartercare Roger Williams Medical Center 825 Chalkstone Ave Providence RI 02908-4728 Ph: (401) 456-2000 |
| NPI Number | 1386473247 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386473247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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