Goodwill Industries Of Rhode Island

LBN: Goodwill Industries Of Rhode Island
Goodwill Industries Of Rhode Island is an health care organization with primary practice located at 100 Houghton Street , Providence RI 02904-1013. The organization recently has 4 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Goodwill Industries Of Rhode Island can be contacted via phone (401) 861-2080, or through Burgess, Daniel C. via phone (401) 861-2080.

Contact Information

Primary practice address
100 Houghton Street Providence RI 02904-1013
Phone: (401) 861-2080
Fax: (401) 454-0889
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Daniel C.
Phone: (401) 861-2080

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1861614133
LBN Legal business name Goodwill Industries Of Rhode Island
DBA Doing business as
Authorized official Burgess, Daniel C.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Feb 10th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861614133 NPPES
Rhode Island MEDICAID GI32135

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