NORTHWEST RADIOLOGY NPI 1104098441

NPI Information

  • NPI: 1104098441
  • Provider Name: NORTHWEST RADIOLOGY
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 36 BRIDGE WAY
    PASCOAG, RI
    ZIP 02859
  • Phone: (401) 568-7661

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NPI Details

NORTHWEST RADIOLOGY is a radiology clinic center in Pascoag, RI. NORTHWEST RADIOLOGY NPI is 1104098441. The provider is registered as an organization entity type.

The provider's business location address is:

36 BRIDGE WAY
PASCOAG, RI
ZIP 02859-131
Phone: (401) 568-7661
Fax: (401) 567-0900

The provider's authorized official is Peter Bancroft .
The authorized official title is Ceo and has the following contact phone number (401) 568-7661.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 4/16/2008.

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
1261QR0200XClinic/CenterRadiologyRAD0142RHODE ISLANDYes

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
141-1814MEDICARE 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: 3/30/2025

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