Prospect Chartercare Sjhsri, Llc

LBN: Prospect Chartercare Sjhsri, Llc
Prospect Chartercare Sjhsri, Llc is an health care organization with primary practice located at 200 High Service Ave , N Providence RI 02904-5113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Prospect Chartercare Sjhsri, Llc can be contacted via phone (310) 943-4500, or through Elders, Robert Jon via phone (714) 788-1249.

Contact Information

Primary practice address
200 High Service Ave N Providence RI 02904-5113
Phone: (310) 943-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elders, Robert Jon
Phone: (714) 788-1249

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1821656034
LBN Legal business name Prospect Chartercare Sjhsri, Llc
DBA Doing business as
Authorized official Elders, Robert Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2019
Last updated Jan 15th, 2021 - about 3 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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