| Block Island Medical Center | |
|
6 Payne Road Block Island RI 02807-0919 | |
| (401) 466-2125 | |
| (401) 466-5476 |
| Full Name | Block Island Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 Payne Road, Block Island, Rhode Island |
| Authorized Official Name and Position | James M Stover (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4014662125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Block Island Medical Center P.o. Box 919 6 Payne Road Block Island RI 02807-0919 Ph: (401) 466-2125 | Block Island Medical Center 6 Payne Road Block Island RI 02807-0919 Ph: (401) 466-2125 |
| NPI Number | 1073544664 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173551421 |
|---|---|
| Medicare Enrollment ID | O20050728001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073544664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ACF01524 (Rhode Island) | Primary |
| Provider Name | Laurie J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194769539 PECOS PAC ID: 6002709268 Enrollment ID: I20040203000696 |
| Provider Name | Thomas K Warcup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760433817 PECOS PAC ID: 5799745055 Enrollment ID: I20041012001113 |
| Provider Name | Thomas Hobin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376510552 PECOS PAC ID: 3375576911 Enrollment ID: I20170810000099 |
| Provider Name | Sarah Lynn Manuppelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417738196 PECOS PAC ID: 4486095403 Enrollment ID: I20240508002173 |
Block Island Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Payne Road, Block Island, RI 02807 Phone: 401-466-2974 Fax: 401-466-5476 |