Map Behavioral Health Services Inc. | |
66 Burnett Street Providence RI 02907 | |
(401) 785-0050 | |
(401) 941-0089 |
Full Name | Map Behavioral Health Services Inc. |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 66 Burnett Street, Providence, Rhode Island |
Authorized Official Name and Position | Lionel H. Fernandez (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4017850050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Map Behavioral Health Services Inc. 66 Burnett Street Providence RI 02907 Ph: (401) 785-0050 | Map Behavioral Health Services Inc. 66 Burnett Street Providence RI 02907 Ph: (401) 785-0050 |
NPI Number | 1821218587 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 07/14/2023 |
Certification Date | 07/14/2023 |
Medicare PECOS PAC ID | 6800218470 |
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Medicare Enrollment ID | O20230720003196 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821218587 | NPI | - | NPPES |
1022060 | Other | RI | NEIGHBORHOOD HEALTH |
MA01418 | Medicaid | RI |
Provider Name | Marian E Idahosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962973164 PECOS PAC ID: 2769720788 Enrollment ID: I20190215001887 |
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