NPI 1790791069

Veterans Affairs Medical Center

Organisation Exclusive Provider Organization Warwick, RI

Practice location

Address: 132 Northbridge Ave, Warwick, RI 02886-2824
Phone: (401) 733-9276
Mailing address: 132 Northbridge Ave, Warwick, RI 02886

Authorised official

Name: Daniel F Sullivan
Title: Social Worker
Phone: 0

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence CSW 00303 (RI)

Other Exclusive Provider Organization providers in Rhode Island →

Registry record

NPI: 1790791069
Entity type: Organization
NPI issued: 31 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.