Roger Williams Addiction Medicine

LBN: Roger Williams Medical Center
Roger Williams Addiction Medicine is an health care organization with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Roger Williams Medical Center can be contacted via phone (401) 456-2363, or through Belcher, Kenneth via phone (401) 456-2025.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (401) 456-2363
Fax: (401) 456-6744
Website:
Map and Directions
Authorized official contact:
Name: Belcher, Kenneth
Phone: (401) 456-2025

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X HOS00108 Rhode Island
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X HOS00108 Rhode Island

Profile Details

NPI number 1457395998
LBN Legal business name Roger Williams Medical Center
DBA Doing business as Roger Williams Addiction Medicine
Authorized official Belcher, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 13th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457395998 NPPES
Rhode Island MEDICAID RW18813

Popular Providers