NPI 1942652391

Univeristy of Rhode Island

Organisation Health Maintenance Organization Kingston, RI

Practice location

Address: 45 Upper College Rd, Kingston, RI 02881-2003
Phone: (401) 874-2051
Mailing address: 123 Pheasant Dr, Middletown, CT 06457-7108

Authorised official

Name: Robert Stachura
Title: Athletic Trainer
Phone: (860) 316-8870

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2255A2300X (RI)

Other Health Maintenance Organization providers in Rhode Island →

Registry record

NPI: 1942652391
Entity type: Organization
NPI issued: 11 Jul 2016
Record last updated: 11 Jul 2016

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.