PROVIDENCE VA MEDICAL CENTER (NPI# 1932127016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932127016 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE VA MEDICAL CENTER |
| Practice Address |
17 Kiwanis Road West Warwick RI 02893-5521 |
| Mailing Address |
17 Kiwanis Rd West Warwick RI 02893-5521 |
| Practice Telephone | 4018262778 |
| Mailing Telephone | 4018262778 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM ANTHONY SILVIA (PRIMARY CARE RN) |
| Authorized Official Telephone | 4012737100 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 21102 | RI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821535121 | Providence Va Medical Center | Military Hospital | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2017-01-24 |
| 1174633598 | Providence Va Medical Center | Speech-Language Pathologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-08-30 |
| 1114940681 | Providence Va Medical Center | Clinic/Center | 830 Chalkstone Avenue, Providence, RI 02098-4799 | 2006-07-25 |
| Street Address |
17 KIWANIS ROAD |
| City | WEST WARWICK |
| State | RI |
| Zip Code | 02893-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596012 | Nicholas James Ferro | Social Worker | 125 Providence St Unit N403, West Warwick, RI 02893 | 2017-05-26 |
| 1255636486 | Kathleen Ann Glancy | Registered Nurse | 4 Silverwood Lane, West Warwick, RI 02893 | 2011-01-19 |
| 1659549764 | Kerri Lynn Kyriakakis | Counselor | 1 James P. Murphy Highway, West Warwick, RI 02893 | 2008-02-12 |
| 1962685263 | Granite Harbor Business Development LLC | Point of Service | 1 James P. Murphy Industrial Highway, West Warwick, RI 02893 | 2007-12-10 |
| 1497811707 | Luann M Kelly | Registered Nurse | 37 Washington Street, West Warwick, RI 02893 | 2006-12-29 |
| 1679638530 | Vantage Point | Exclusive Provider Organization | 1 James P Murphy Highway, Suite 103, West Warwick, RI 02893 | 2006-12-22 |
| 1528123478 | Kathleenn Ann Carty | Counselor | 1james P. Murphy Highway, Suite 103, West Warwick, RI 02893 | 2006-12-22 |
| 1972672699 | Lee S Lovitz | Podiatrist | 1193 Tiogue Avenue, Coventry, RI 02893 | 2006-11-07 |
| 1003901497 | Mary Rose | Nurse Practitioner | 186 Providence Street, West Warwick, RI 02893 | 2006-10-03 |
| 1477659795 | Sandra Ann Wheller | Registered Nurse | Kent Center Mtt 2, West Warwick, RI 02893 | 2006-09-15 |
| Find all providers in zip 02893 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034767 | Alternative Integrative Medicine, Inc | Clinic/Center | 222 Jefferson Blvd Ste 4, Warwick, RI 02888-3847 | 2020-05-15 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1922508373 | Acupuncture Ri Ltd. | Clinic/Center | 102 Gano St, Providence, RI 02906-3807 | 2018-02-12 |
| 1477098911 | Rhode Island Neurodiagnostics, LLC | Clinic/Center | 10 Dorrance St., Ste. 700, Office 707, Providence, RI 02903-2014 | 2016-12-19 |
| 1467864884 | Providence Community Acupuncture, LLC | Clinic/Center | 22 Parsonage St, Providence, RI 02903-4732 | 2014-05-21 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1114243599 | Occupational Health Services of The Southwest Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-11 |
| 1750537056 | Heritage Podiatry Inc. | Clinic/Center | 5 Money Hill Rd, Chepachet, RI 02814-1304 | 2008-08-18 |
| 1902027808 | The Miriam Hospital | Clinic/Center | 11 Summit Ave, Providence, RI 02906-2506 | 2007-05-01 |
| 1073544664 | Block Island Health Services, Inc. | Clinic/Center | 6 Payne Road, Block Island, RI 02807-0919 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST WARWICK |
| Zip Code | 02893 |
Please comment or provide details below to improve the information on PROVIDENCE VA MEDICAL CENTER.
| 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.