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MEMORIAL HOSPITAL NPI 1043430929


NPI Information

NPI: 1043430929
Provider Name: MEMORIAL HOSPITAL

Other Name: EMERGENCY ROOM MEDICAL STAFF

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
MEMORIAL HOSPITAL OF RHODE ISLAND
111 BREWSTER STREET
PAWTUCKET, RI
ZIP 02860
Phone: (401) 729-2000
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MEMORIAL HOSPITAL is an emergency medicine in Pawtucket, RI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MEMORIAL HOSPITAL NPI is 1043430929. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Emergency Room Medical Staff.

The provider's business location address is:

MEMORIAL HOSPITAL OF RHODE ISLAND
111 BREWSTER STREET
PAWTUCKET, RI
ZIP 02860-400
Phone: (401) 729-2000

The provider's authorized official is Francis R Dietz .
The authorized official title is Ceopresident and has the following contact phone number (401) 729-2000.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 11/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19001088MEDICAIDRHODE ISLAND
20019001088MEDICARE PINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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