PROSPECT CHARTERCARE RWMC, LLC


Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: 4014562000

PROSPECT CHARTERCARE RWMC, LLC (NPI# 1760977136) 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) 1760977136
Entity Type Organization
Organization Name PROSPECT CHARTERCARE RWMC, LLC
Practice Address 825 Chalkstone Ave
Providence
RI 02908-4728
Practice Telephone 4014562000
Practice Fax Number 4014562029
Mailing Telephone 4014562000
Mailing Fax Number 4014562029
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Authorized Official Name ELLEN SHIN (SECRETARY)
Authorized Official Telephone 3109434500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528469707 Prospect Chartercare Rwmc, LLC General Acute Care Hospital 84 Colvintown Rd, Coventry, RI 02816-8516 2014-09-08
1285059287 Prospect Chartercare Rwmc, LLC Counselor 825 Chalkstone Ave, Providence, RI 02908-4728 2014-02-27
1477978476 Prospect Chartercare Rwmc, LLC Psychiatric Unit 825 Chalkstone Ave, Providence, RI 02908-4728 2014-02-27
1912322918 Prospect Chartercare Rwmc, LLC Home Health 50 Maude St, Providence, RI 02908-4325 2014-02-27
1013332014 Prospect Chartercare Rwmc, LLC General Acute Care Hospital 825 Chalkstone Ave, Providence, RI 02908-4728 2014-02-27
1326463548 Prospect Chartercare Rwmc, LLC Nutritionist 825 Chalkstone Ave, Providence, RI 02908-4728 2014-02-25

Office Location

Street Address 825 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459263 Ritesh Rathore Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2005-07-07
1821698903 Afsana Jahan Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-28
1861090508 Anthony Joseph Paoletta Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-14
1255941720 Georgio Medawar Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1265042733 Jessica Khoury Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1215547617 Amy Remillard Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-31
1225647738 Abdallah Mohamed Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-30
1467061309 Catherine Ekladios Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1982213948 Jamal Al Ali Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1811506793 Sadollah Ghasempour Soleymani Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771900 Horizon Wellness Clinic/Center 1339 Smith St, North Providence, RI 02908 2017-10-12
1477098069 Beth Perry Nurse Practitioner 830 Chalstone Ave., Providence, RI 02908 2017-01-05
1659788735 Brandi Kimble Podiatrist 825 Chalkstone Avenue, Providence, RI 02908 2014-07-21
1912253675 Roger Williams Medical Center Long Term Care Hospital 25 Chalkstone Ave, Providence, RI 02908 2012-07-31
1669768818 Elisa Semedo Physical Therapist 285 Promenade Street, Providence, RI 02908 2011-06-27
1255655502 Caregiver Homes of Rhode Island Inc. Custodial Care Facility 235 Promenade Street, Providence, RI 02908 2010-03-16
1487884987 Professional Ambulance LLC Ambulance 52 River Ave, Providence, RI 02908 2009-07-17
1609065804 Stephen W Davis Family Medicine 299 Promenade Street, Nhpri, Providence, RI 02908 2007-10-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1871718718 Brett C Auclaire Nurse Practitioner 40 Candace Street, Providence, RI 02908 2007-04-16
Find all providers in zip 02908

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386626174 Denis E Moonan Jr. Internal Medicine 1515 Smith St, Suite N, North Providence, RI 02911-2947 2005-11-16
1821656034 Prospect Chartercare Sjhsri, LLC Internal Medicine 200 High Service Ave, N Providence, RI 02904-5113 2019-06-03
1508049305 Medical Assisted Recovery, Inc. Internal Medicine 875 Centerville Rd, Warwick, RI 02886-4381 2007-12-14
1538108857 Andrew C Stone Internal Medicine 111 Howard Ave, Cranston, RI 02920-3001 2006-06-05

Competitor

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City PROVIDENCE
Zip Code 02908

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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