| Memorial Hospital Eeg Group | |
|
111 Brewster St Pawtucket RI 02860-4400 | |
| (401) 729-2000 | |
| Not Available |
| Full Name | Memorial Hospital Eeg Group |
|---|---|
| Speciality | Psychiatry & Neurology - Diagnostic Neuroimaging |
| Location | 111 Brewster St, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Francis R Dietz (CEO PRESIDENT) |
| Authorized Official Contact | 4017292000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Eeg Group 111 Brewster St Pawtucket RI 02860-4400 Ph: (401) 729-2000 | Memorial Hospital Eeg Group 111 Brewster St Pawtucket RI 02860-4400 Ph: (401) 729-2000 |
| NPI Number | 1386863496 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386863496 | NPI | - | NPPES |
| 9006134 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
Cynthia M Barte Licsw, Lcdp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Suite 206, Pawtucket, RI 02860 Phone: 401-965-6699 Fax: 401-568-9050 | |
Wendy V., Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Prospect St Ste 206, Pawtucket, RI 02860 Phone: 401-400-2135 Fax: 401-272-4361 | |
Archer Mental Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Bristol Ave, Pawtucket, RI 02861 Phone: 401-572-8052 | |
Addiction Recovery Institute Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 N Union St, Pawtucket, RI 02860 Phone: 401-725-2520 Fax: 401-723-9595 | |
Blackstone Valley Community Health Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-312-9892 | |
Gateway Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 - 105 Bacon Street, Pawtucket, RI 02860 Phone: 401-722-3560 Fax: 401-722-3593 | |
Peerpoint Recovery Residences Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Coyle Ave, Pawtucket, RI 02860 Phone: 401-516-8958 |