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ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND

Behavioral Health & Social Service Providers Social Worker

Provider NPI: 1326122557

Organization Information:
Organization Name:  ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND
Organization is not Subpart
Authorized Official:  MICHAEL E CONKLIN  SNR. VICE PRESIDENT  401-456-3000

Practice Location:
200 HIGH SERVICE AVE  NORTH PROVIDENCE, RI 02904-5113 US
Tel: 401-456-3649  Fax: 401-752-8116

Business Mailing Address:
825 CHALKSTONE AVE N. CAMPUS BUSINESS OFFICE, ATTN; R. SOARES PROVIDENCE, RI 02908-4728 US
Tel: 401-456-2525  Fax: 401-456-6742

NPI Information:
NPI: 1326122557
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
RI110
N273R00000XHospital Units
Psychiatric Unit
RIHOS00110
N282N00000XHospitals
General Acute Care Hospital
RIHOS00110
Y2084P0800XPhysicians
Psychiatry & Neurology
RI110

Other Provider Identifiers:

IssuerNumberStateType
SJ09468RI05



American Medical Association 2012 taxonomy code information

Code: 2084P0800X

Type:

Classification:



Definition:



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