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KENT COUNTY MEMORIAL HOSPITAL

Clinical Neuropsychologist

Warwick, Rhode Island

Provider NPI: 1396864542

Organization Information:
Organization Name:  KENT COUNTY MEMORIAL HOSPITAL
Organization is Subpart
Authorized Official:  SANDRA L COLETTA  PRESIDENT  401-7377010

Practice Location:
455 TOLL GATE RD  WARWICK, RI 02886 US
Tel: 401-737-7000  Fax: 401-736-4265

Business Mailing Address:
PO BOX 414998  BOSTON, MA 02241 US
Tel: 401-273-0641  Fax: 401-273-2919

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RC0200XPhysicians
Internal Medicine
Critical Care Medicine
RIHOS00125
N208000000XPhysicians
Pediatrics
RIHOS00125
N2080N0001XPhysicians
Pediatrics
RIHOS00125
N208100000XPhysicians
Physical Medicine & Rehabilitation
RIHOS00125
N2081H0002XPhysicians
Physical Medicine & Rehabilitation
RIHOS00125
N2084P0800XPhysicians
Psychiatry & Neurology
RIHOS00125
N2084P0805XPhysicians
Psychiatry & Neurology
RIHOS00125
N208600000XPhysicians
Surgery
RIHOS00125
N208D00000XPhysicians
General Practice
RIHOS00125
N208G00000XPhysicians
Thoracic Surgery (Cardiothoracic Vascular Surgery)
N208M00000XPhysicians
Hospitalist
RIHOS00125
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
RIHOS00125
N207Q00000XPhysicians
Family Medicine
RIHOS00125
N207R00000XPhysicians
Internal Medicine
RIHOS00125
Y282N00000XHospitals
General Acute Care Hospital
RIHOS00125

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICARECG2327RI01
RR MEDICAREC14024RI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS RI - Page 1



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