| Meeting Street Center | |
|
1000 Eddy Street Providence RI 02905 | |
| (401) 533-9100 | |
| Not Available |
| Full Name | Meeting Street Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1000 Eddy Street, Providence, Rhode Island |
| Authorized Official Name and Position | Lynne Malone (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4015339100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meeting Street Center 1000 Eddy Street Providence RI 02905 Ph: (401) 533-9100 | Meeting Street Center 1000 Eddy Street Providence RI 02905 Ph: (401) 533-9100 |
| NPI Number | 1154443885 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154443885 | NPI | - | NPPES |
| ES01788 | Medicaid | RI | |
| 2058 | Other | RI | SS NHPRC |
| 9009994 | Medicaid | RI | |
| 99947 | Other | RI | RI BCROSS |
| 2092 | Other | RI | EI NHPRC |
| 4600103 | Other | RI | UNITED |
| MS59102 | Medicaid | RI | |
| 6400144 | Other | RI | UNITED |
| 412296 | Other | RI | EI BCHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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