Medicus

LBN: Providence Medical Healthcare Center
Medicus is an health care organization with primary practice located at 80 Dean St , Providence RI 02903-1504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Providence Medical Healthcare Center can be contacted via phone (401) 521-3270, or through Vitelli, John Silvio via phone (401) 521-3270.

Contact Information

Primary practice address
80 Dean St Providence RI 02903-1504
Phone: (401) 521-3270
Fax: (401) 521-6532
Website:
Map and Directions
Authorized official contact:
Name: Vitelli, John Silvio Doctor of Medicine (MD)
Phone: (401) 521-3270

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1164575338
LBN Legal business name Providence Medical Healthcare Center
DBA Doing business as Medicus
Authorized official Vitelli, John Silvio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Oct 29th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164575338 NPPES
Rhode Island MEDICAID PM24729

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