| Emma Pendleton Bradley Hospital | |
|
1011 Veterans Memorial Pkwy Riverside RI 02915-5061 | |
| (401) 444-6966 | |
| Not Available |
| Full Name | Emma Pendleton Bradley Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1011 Veterans Memorial Pkwy, Riverside, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Pendleton Bradley Hospital 117 Ellenfield St Ste 101 Providence RI 02905-4541 Ph: (401) 444-6779 | Emma Pendleton Bradley Hospital 1011 Veterans Memorial Pkwy Riverside RI 02915-5061 Ph: (401) 444-6966 |
| NPI Number | 1073705943 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073705943 | NPI | - | NPPES |
| EP41762 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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