Tavares Pediatric Center

LBN: Tavares Pediatric Center
Tavares Pediatric Center is an health care organization with primary practice located at 101 Plain St , Providence RI 02903-4828. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Tavares Pediatric Center can be contacted via phone (401) 272-7127, or through Tavares, Vivian M via phone (401) 272-7127.

Contact Information

Primary practice address
101 Plain St Providence RI 02903-4828
Phone: (401) 272-7127
Fax: (401) 272-4752
Website:
Map and Directions
Authorized official contact:
Name: Tavares, Vivian M
Phone: (401) 272-7127

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1598368235
LBN Legal business name Tavares Pediatric Center
DBA Doing business as Tavares Pediatric Center
Authorized official Tavares, Vivian M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 4 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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