PROVIDENCE MEDICAL HEALTHCARE CENTER


Address: 80 Dean St, Providence, RI 02903-1504
Phone: 4015213270

PROVIDENCE MEDICAL HEALTHCARE CENTER (NPI# 1164575338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164575338
Entity Type Organization
Organization Name PROVIDENCE MEDICAL HEALTHCARE CENTER
Other Organization Name MEDICUS
Practice Address 80 Dean St
Providence
RI 02903-1504
Practice Telephone 4015213270
Practice Fax Number 4015216532
Mailing Telephone 4015213270
Mailing Fax Number 4015216532
Enumeration Date 2007-01-19
Last Update Date 2007-10-29
Authorized Official Name DR. JOHN SILVIO VITELLI (TREASURER)
Authorized Official Telephone 4015213270
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI PM24729 05

Other Provider/Organization Names

Other Name Type Code
Medicus Doing Business As Name - Organization

Office Location

Street Address 80 DEAN ST
City PROVIDENCE
State RI
Zip Code 02903-1504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780900407 American Current Care Pa Clinic/Center 290 Branch Ave, Providence, RI 02904 2010-04-20
1558531467 East Side Urgent Care LLC Clinic/Center 1195 N Main St, Providence, RI 02904-1824 2008-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306021605 American Current Care P.a. Clinic/Center 2191 Post Road, Suite 3, Warwick, RI 02886 2008-01-04
1053596346 American Current Care P.a. Clinic/Center 203 Concord Street, Suite 301, Pawtucket, RI 02860 2008-01-04
1699896746 Harbour Medical Clinic/Center 1000 Division St, Harbour Medical Suite #70, East Greenwich, RI 02818-2008 2007-04-03
1720011018 Wampanoag Medical Clinic & Treatment Center Clinic/Center 1970 Pawtucket Ave, East Providence, RI 02914-1718 2006-07-09
1386610921 D Halpren Ruder Inc Clinic/Center 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 2006-02-24
1790260974 Primary Walk-in Medical Urgent Care LLC Clinic/Center 684 Warren Ave, East Providence, RI 02914-1405 2018-10-03
1013302488 Ocean State Urgent Care Center of Coventry, LLC Clinic/Center 982 Tiogue Ave, Coventry, RI 02816-6116 2015-04-02
1225444243 Primary Medical Center and Walk-in LLC Clinic/Center 684 Warren Ave, East Providence, RI 02914-1405 2014-07-10
1275971400 Ocean State Urgent Care Center of Cumberland, LLC Clinic/Center 2140 Mendon Rd, Cumberland, RI 02864-3843 2013-06-10
1447698675 Ocean State Urgent Care Center of Smithfield LLC Clinic/Center 400 Putnam Pike, Smithfield, RI 02917-2408 2013-06-10
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Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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