Stillwater Primary Care Ltd | |
712 Putnam Pike Unit 2 Chepachet RI 02814-1404 | |
(401) 710-4280 | |
(401) 710-4277 |
Full Name | Stillwater Primary Care Ltd |
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Speciality | Clinic/Center |
Location | 712 Putnam Pike Unit 2, Chepachet, Rhode Island |
Authorized Official Name and Position | Joseph Desrosiers (PRESIDENT) |
Authorized Official Contact | 4017104280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stillwater Primary Care Ltd 712 Putnam Pike Unit 2 Chepachet RI 02814-1404 Ph: (401) 710-4280 | Stillwater Primary Care Ltd 712 Putnam Pike Unit 2 Chepachet RI 02814-1404 Ph: (401) 710-4280 |
NPI Number | 1174141345 |
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Provider Enumeration Date | 07/14/2020 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 2668892233 |
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Medicare Enrollment ID | O20201020002375 |
Identifier | Type | State | Issuer |
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1174141345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | David J Coia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629181268 PECOS PAC ID: 5193883452 Enrollment ID: I20081015000581 |
Heritage Podiatry Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Money Hill Rd, Chepachet, RI 02814 Phone: 401-567-9288 |