MEMORIAL HOSPITAL – NPI #1396954640
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MEMORIAL HOSPITAL is a provider located in PAWTUCKET, RI. NPPES has assigned the NPI number 1396954640 to MEMORIAL HOSPITAL on May 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MEMORIAL HOSPITAL is also known by the name PRIMARY CARE CTR.. OF QUALITY HILL AND WOMENS HEALTH SPECIALISTS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Nov 30, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL HOSPITAL below.

NPI Profile for
MEMORIAL HOSPITAL

NPI Number
1396954640
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL HOSPITAL
Other Name: PRIMARY CARE CTR.. OF QUALITY HILL AND WOMENS HEALTH SPECIALISTS
Primary location
111 BREWSTER STREET
MEMORIAL HOSPITAL OF RHODE ISLAND
PAWTUCKET, RI 02860
Phone: (401) 729-2000 Fax:
Mailing address
174 ARMSTICE BLVD.
PAWTUCKET, RI 02860
Phone: (401) 729-3600 Fax:
Organization Subpart
No
Authorized Official
FRANCIS DIETZ
CEO/PRESIDENT
Phone: (401) 729-2000
Updated
Identifiers

Identifiers for MEMORIAL HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDRIMH11562
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
207V00000X
- Obstetrics & Gynecology
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.