WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER


Address: 1970 Pawtucket Ave, East Providence, RI 02914-1718
Phone: 4014386620

WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER (NPI# 1720011018) 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) 1720011018
Entity Type Organization
Organization Name WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER
Practice Address 1970 Pawtucket Ave
East Providence
RI 02914-1718
Practice Telephone 4014386620
Practice Fax Number 4014386621
Mailing Telephone 4014386620
Mailing Fax Number 4014386621
Enumeration Date 2006-07-09
Last Update Date 2020-08-22
Authorized Official Name DR. JUANITO A ABANILLA (PRESIDENT)
Authorized Official Telephone 4014386620
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
MD4452 RI Ambulatory Health Care Facilities

Office Location

Street Address 1970 PAWTUCKET AVE
City EAST PROVIDENCE
State RI
Zip Code 02914-1718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447633060 Vincenzo Gianfrancesco Optometrist 1970 Pawtucket Ave, East Providence, RI 02914-1718 2015-07-01
1902079841 Envisions Eyecare Centers Inc Optometrist 1970 Pawtucket Ave, East Providence, RI 02914-1718 2008-04-11
1073613741 John S Corvese Optometrist 1970 Pawtucket Ave, East Providence, RI 02914-1718 2006-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457988198 Sean C. Duffy Massage Therapist 231 Warren Ave., East Providence, RI 02914 2020-03-24
1457905606 Jeanine Le-kreuzer, Lmhc Clinic/Center 3421 Pawtucket Ave, East Providence, RI 02914 2019-07-26
1881113983 Megan Grace Fitzpatrick Student in an Organized Health Care Education/Training Program 51 Milburn Rd, East Providence, RI 02914 2017-09-11
1265719660 Hilary Elise Bicknell Physical Therapist 927 B Warren Ave, East Providence, RI 02914 2011-11-14
1346549037 Amanda M Hope Occupational Therapist 2680 Pawtucket Ave, East Providence, RI 02914 2011-03-21
1780993824 Shannon Hayes Physical Therapist 400 Massaoit Ave, East Providence, RI 02914 2010-10-06
1053623538 Ricardo Rafael Correa Marquez Internal Medicine 900 Warren Avenue, Suite 300, East Providence, RI 02914 2010-07-13
1013231570 Michael Seidler Internal Medicine 20 Catamore Blvd., East Providence, RI 02914 2010-03-26
1053543405 Ray Rezania Dentist 1055 South Broadway, East Providence, RI 02914 2009-08-19
1144464587 John F Maynard Urology Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 2009-04-29
Find all providers in zip 02914

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
1790260974 Primary Walk-in Medical Urgent Care LLC Clinic/Center 684 Warren Ave, East Providence, RI 02914-1405 2018-10-03
1225444243 Primary Medical Center and Walk-in LLC Clinic/Center 684 Warren Ave, East Providence, RI 02914-1405 2014-07-10
1295818078 East Providence Emergency Room Inc Clinic/Center 525 Taunton Ave, East Providence, RI 02914-1603 2006-10-23

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
1164575338 Providence Medical Healthcare Center Clinic/Center 80 Dean St, Providence, RI 02903-1504 2007-01-19
1386610921 D Halpren Ruder Inc Clinic/Center 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 2006-02-24
1013302488 Ocean State Urgent Care Center of Coventry, LLC Clinic/Center 982 Tiogue Ave, Coventry, RI 02816-6116 2015-04-02
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
1730420738 Orthopedic Urgent Care LLC Clinic/Center 588 Pawtucket Ave, Pawtucket, RI 02860-6057 2013-03-15
1417207580 Center of New England Urgent Care Inc Clinic/Center 775 Centre of New England Blvd, West Greenwich, RI 02817-6099 2012-09-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City EAST PROVIDENCE
Zip Code 02914

Improve Information

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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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