Providence Urology, Llc

LBN: Providence Urology, Llc
Providence Urology, Llc is an health care organization with primary practice located at 1165 N Main St Suite 200, Providence RI 02904-5740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Providence Urology, Llc can be contacted via phone (401) 521-4333, or through Iannotti, Harry M via phone (401) 521-4333.

Contact Information

Primary practice address
1165 N Main St Suite 200 Providence RI 02904-5740
Phone: (401) 521-4333
Fax: (401) 521-4377
Website:
Map and Directions
Authorized official contact:
Name: Iannotti, Harry M Doctor of Medicine (MD)
Phone: (401) 521-4333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1255386868
LBN Legal business name Providence Urology, Llc
DBA Doing business as
Authorized official Iannotti, Harry M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Dec 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255386868 NPPES
Rhode Island MEDICAID 9003351

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