Providence Surgical Care Group, Incorporated
LBN: Providence Surgical Care Group, Incorporated
Providence Surgical Care Group, Incorporated is an health care organization with primary practice located at 486 Silver Spring St , Providence RI 02904-1556. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty.
Providence Surgical Care Group, Incorporated can be contacted via phone (401) 454-0690, or through Patterson, Robert B via phone (401) 454-0690.
Contact Information
Primary practice address
486 Silver Spring St
Providence RI 02904-1556
Phone: (401) 454-0690
Fax: (401) 454-4281
Website:
Authorized official contact:
Name: Patterson, Robert B Doctor of Medicine (MD)
Phone: (401) 454-0690
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1437232543 |
|---|---|
| LBN Legal business name | Providence Surgical Care Group, Incorporated |
| DBA Doing business as | |
| Authorized official | Patterson, Robert B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Dec 23rd, 2011 - about 13 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 | 1437232543 | NPPES |
| Rhode Island | MEDICAID | PS32025 |
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