Healthcare Provider Details

I. General information

NPI: 1952304214
Provider Name (Legal Business Name): P.C.S.-BRIDGEVIEW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E MAIN RD UNIT 12
MIDDLETOWN RI
02842-5277
US

IV. Provider business mailing address

510 E MAIN RD UNIT 12
MIDDLETOWN RI
02842-5277
US

V. Phone/Fax

Practice location:
  • Phone: 401-848-2043
  • Fax: 401-846-3211
Mailing address:
  • Phone: 401-848-2043
  • Fax: 401-846-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. TRUDY J. CONROY
Title or Position: PRESIDENT
Credential:
Phone: 401-848-2043