| |
290 Branch Ave Providence RI 02904-2713 | |
(401) 722-8880 | |
(401) 723-9320 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 290 Branch Ave, Providence, Rhode Island |
Authorized Official Name and Position | Robert Hassett (PRESIDENT) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 Ph: (972) 364-8083 | 290 Branch Ave Providence RI 02904-2713 Ph: (401) 722-8880 |
NPI Number | 1023395340 |
---|---|
Provider Enumeration Date | 11/15/2011 |
Last Update Date | 02/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023395340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |