Providence Cardiology Inc
LBN: Providence Cardiology Inc
Providence Cardiology Inc is an health care organization with primary practice located at 1 Randall Sq Suite 305, Providence RI 02904-2709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Providence Cardiology Inc can be contacted via phone (401) 521-0700, or through Klie, Jack Hug via phone (401) 521-0700.
Contact Information
Primary practice address
1 Randall Sq Suite 305
Providence RI 02904-2709
Phone: (401) 521-0700
Fax: (401) 521-0906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4568 | Rhode Island |
Profile Details
| NPI number | 1790856888 |
|---|---|
| LBN Legal business name | Providence Cardiology Inc |
| DBA Doing business as | |
| Authorized official | Klie, Jack Hug Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Apr 3rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790856888 | NPPES |
| Rhode Island | Other | 849 | BLUE CROSS |
| Rhode Island | Other | 001218 | BLUE CROSS |
| Rhode Island | MEDICAID | 9002630 | BLUE CROSS |
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