PROVIDENCE VAMC


Address: 75 Eagle St, Providence, RI 02909-1081
Phone: 7172776565

PROVIDENCE VAMC (NPI# 1710461215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710461215
Entity Type Organization
Organization Name PROVIDENCE VAMC
Practice Address 75 Eagle St
Providence
RI 02909-1081
Mailing Address Po Box 3016
Lebanon
PA 17042-3016
Practice Telephone 7172776565
Mailing Telephone 7172776565
Enumeration Date 2018-09-20
Last Update Date 2018-09-20
Authorized Official Name ERIN DENISE POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PROVIDENCE VA CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902851306 Providence Vamc Clinic/Center 233 Stevens St, Hyannis, MA 02601-3766 2006-05-23
1679971311 Providence Vamc Clinic/Center 623 Atwells Ave, Providence, RI 02909-7403 2014-12-11
1225076664 Providence Vamc Clinic/Center 175 Elm St, New Bedford, MA 02740-6006 2006-06-04
1831136050 Providence Vamc Clinic/Center 1 Corporate Pl, Middletown, RI 02842-6277 2006-05-31
1306896733 Providence Vamc General Acute Care Hospital 830 Chalkstone Ave, Providence, RI 02908-4734 2006-05-10
1619935145 Providence Vamc Department of Veterans Affairs (VA) Pharmacy 830 Chalkstone Ave, Providence, RI 02908-4734 2006-05-03

Office Location

Street Address 75 EAGLE ST
City PROVIDENCE
State RI
Zip Code 02909-1081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821627647 Christine Marie Jannell Occupational Therapy Assistant 75 Eagle St, Providence, RI 02909-1081 2020-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578021754 Roberta Bellas Portugal Registered Nurse Behave Care, 188 Valley St, Providence, RI 02909 2019-03-07
1912137324 Catherine Elaine Tuttle Social Worker 623 Atwells Avenue, Suite 201, Providence, RI 02909 2009-07-20
1477736452 City Dental, LLC Dentist 314f Pocasset Avenue, Providence, RI 02909 2007-12-12
1245449651 Walter R. Vandyck Occupational Therapist Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 2007-05-22
1780805283 Marcel A Trisvan Counselor Codac Providence, 349 Huntington Ave, Providence, RI 02909 2007-05-01
1215153945 Codac Inc Peer Specialist 349 Huntington Ave, Codac Providence, Providence, RI 02909 2007-04-18
1316076342 Mulak Chiropractic Center Inc Chiropractor 411 Broadway, Providence, RI 02909 2007-03-05
1710042742 Michael Antonio Pensa Chiropractor 45 Eagle St Bld J Unit 100, Providence, RI 02909 2006-12-27
1780768234 Providence Community Action Case Management 662 Hartford Avenue, Providence, RI 02909 2006-10-24
1881629608 Cora Brigid Mayer Counselor 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 2006-07-11
Find all providers in zip 02909

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679971311 Providence Vamc Clinic/Center 623 Atwells Ave, Providence, RI 02909-7403 2014-12-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831136050 Providence Vamc Clinic/Center 1 Corporate Pl, Middletown, RI 02842-6277 2006-05-31

Competitor

Search similar providers

City PROVIDENCE
Zip Code 02909

Improve Information

Please comment or provide details below to improve the information on PROVIDENCE VAMC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches