Healthcare Provider Details

I. General information

NPI: 1073649471
Provider Name (Legal Business Name): ACCESSPOINT RI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COMSTOCK PKWY
CRANSTON RI
02921-2002
US

IV. Provider business mailing address

PO BOX 20130
CRANSTON RI
02920-0942
US

V. Phone/Fax

Practice location:
  • Phone: 401-941-1112
  • Fax: 401-941-1112
Mailing address:
  • Phone: 401-941-1112
  • Fax: 401-941-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID K. CONCANNON
Title or Position: CFO
Credential:
Phone: 401-941-1112