KENT COUNTY MEMORIAL HOSPITAL (NPI# 1922621614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922621614 |
| Entity Type | Organization |
| Organization Name | KENT COUNTY MEMORIAL HOSPITAL |
| Practice Address |
455 Toll Gate Rd Warwick RI 02886-2759 |
| Practice Telephone | 4017377000 |
| Mailing Telephone | 4017377000 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | HEATHER-ROSE MATTIAS (DIRECTOR CONTRACT ADMINISTRATION) |
| Authorized Official Telephone | 4019218535 |
| Is Organization Subpart | Y |
| Parent Organization Name | KENT COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Kent Lab Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186776 | Kent County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 11 Knight St, Bldg. D15, Warwick, RI 02886-1281 | 2005-07-06 |
| 1396864542 | Kent County Memorial Hospital | Internal Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2007-03-28 |
| 1386643294 | Kent County Memorial Hospital | General Acute Care Hospital | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-07-21 |
| 1023017944 | Kent County Memorial Hospital | Rehabilitation Unit | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-07-21 |
| Street Address |
455 TOLL GATE RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872878 | John Robert Audett | Internal Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-06-22 |
| 1003422775 | Sabrina O'donnell | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-09-18 |
| 1477162733 | Advait Kodoor Kothare | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-07-23 |
| 1336758697 | Ratib Talal Mahfouz | Student in an Organized Health Care Education/Training Program | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-07-23 |
| 1669081899 | Ahmad Toumar | Student in an Organized Health Care Education/Training Program | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-07-23 |
| 1316556681 | Osama Emad Batayneh | Internal Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-07-23 |
| 1083237408 | Jeannette Wright | Student in an Organized Health Care Education/Training Program | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-05-20 |
| 1730700204 | Joshua Silva | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-05-06 |
| 1548881998 | Elizabeth Avery Lee | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-04-27 |
| 1528688983 | Angelica Rose Gigliello | Family Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396131116 | Alpha Labs, Inc. | Clinical Medical Laboratory | 1025 Waterman Ave, East Providence, RI 02914-1314 | 2015-04-08 |
| 1841503067 | Molecular Ms Diagnostics, LLC | Clinical Medical Laboratory | 712 Oaklawn Ave Ste 6, Cranston, RI 02920-2858 | 2010-07-16 |
| 1073788683 | Rhode Island Blood Center | Clinical Medical Laboratory | 405 Promenade St, Providence, RI 02908-4811 | 2008-04-24 |
| 1699811059 | Rhode Island Blood Center | Clinical Medical Laboratory | 405 Promenade Street, Providence, RI 02908-4811 | 2007-01-30 |
| 1174690887 | State of Rhode Island and Providence Plantations | Clinical Medical Laboratory | 50 Orms St, Providence, RI 02904-2222 | 2006-11-29 |
| 1861404121 | East Side Clinical Laboratory, Inc. | Clinical Medical Laboratory | 10 Risho Avenue, East Providence, RI 02914-1215 | 2006-08-13 |
| 1447278403 | Quest Diagnostics LLC | Clinical Medical Laboratory | 1524 Atwood Ave, Ll1, Johnston, RI 02919-3228 | 2006-07-18 |
| 1972590552 | Coastal Medical Inc | Clinical Medical Laboratory | 272 W Exchange St, Suite 100, Providence, RI 02903-1061 | 2005-09-29 |
| 1912903717 | Dominion Diagnostics LLC | Clinical Medical Laboratory | 211 Circuit Drive, North Kingstown, RI 02852-7440 | 2005-06-27 |
| 1104449891 | Women & Infants Hospital of Rhode Island | Clinical Medical Laboratory | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-28 |
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| 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.