Primary Care Medical Associates Of Cranston Inc

LBN: Primary Care Medical Associates Of Cranston Inc
Primary Care Medical Associates Of Cranston Inc is an health care organization with primary practice located at 1596 Broad St , Cranston RI 02905-4130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primary Care Medical Associates Of Cranston Inc can be contacted via phone (401) 461-5400, or through Dejesus, Elizabeth G via phone (401) 461-5400.

Contact Information

Primary practice address
1596 Broad St Cranston RI 02905-4130
Fax: (401) 461-9039
Website:
Authorized official contact:
Name: Dejesus, Elizabeth G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10197 Rhode Island

Profile Details

NPI number 1346307485
LBN Legal business name Primary Care Medical Associates Of Cranston Inc
DBA Doing business as
Authorized official Dejesus, Elizabeth G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 1st, 2007
Last updated Mar 1st, 2016 - about 9 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 1346307485 NPPES
Rhode Island MEDICAID PC54016
Rhode Island Other 2982
Rhode Island Other 469187
Rhode Island Other 759600

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