Adult Primary Care

LBN: St. Joseph Health Services Of Ri
Adult Primary Care is an health care organization with primary practice located at 21 Peace St , Providence RI 02907-1510. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. St. Joseph Health Services Of Ri can be contacted via phone (401) 456-4325, or through Conklin, Michael via phone (401) 456-2525.

Contact Information

Primary practice address
21 Peace St Providence RI 02907-1510
Phone: (401) 456-4325
Fax: (401) 456-4250
Website:
Map and Directions
Authorized official contact:
Name: Conklin, Michael CFO
Phone: (401) 456-2525

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X HOS00110 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X HOS00110 Rhode Island

Profile Details

NPI number 1134264062
LBN Legal business name St. Joseph Health Services Of Ri
DBA Doing business as Adult Primary Care
Authorized official Conklin, Michael CFO
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jan 25th, 2013 - about 12 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 1134264062 NPPES
Rhode Island Other 509025253 MEDICARE P-TAN
Rhode Island MEDICAID SJ48636 MEDICARE P-TAN

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