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MEETING STREET CENTER

Ambulatory Health Care Facilities Clinic/Center Multi-Specialty

Provider NPI: 1154443885

Organization Information:
Organization Name:  MEETING STREET CENTER
Organization is not Subpart
Authorized Official:  LYNNE  MALONE  DIRECTOR OF FINANCE  401-533-9100

Practice Location:
1000 EDDY STREET  PROVIDENCE, RI 02905 US
Tel: 401-533-9100  Fax: --

Business Mailing Address:
1000 EDDY STREET  PROVIDENCE, RI 02905 US
Tel: 401-533-9100  Fax: --

NPI Information:
NPI: 1154443885
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM1300XAmbulatory Health Care Facilities
Clinic/Center
Multi-Specialty

Other Provider Identifiers:

IssuerNumberStateType
EI NHPRC2092RI01
UNITED4600103RI01
9009994RI05
UNITED6400144RI01
EI BCHIP412296RI01
ES01788RI05
SS NHPRC2058RI01
RI BCROSS99947RI01
MS59102RI05



American Medical Association 2012 taxonomy code information

Code: 261QM1300X

Type:

Classification:



Definition:



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