| Rhode Island Free Clinic, Inc | |
|
655 Broad St Providence RI 02907-1444 | |
| (401) 274-6347 | |
| Not Available |
| Full Name | Rhode Island Free Clinic, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 655 Broad St, Providence, Rhode Island |
| Authorized Official Name and Position | Marie Ghazal (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4012746347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhode Island Free Clinic, Inc 655 Broad St Providence RI 02907-1444 Ph: () - | Rhode Island Free Clinic, Inc 655 Broad St Providence RI 02907-1444 Ph: (401) 274-6347 |
| NPI Number | 1558706267 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558706267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ACF01570 (Rhode Island) | Primary |
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