Healthcare Provider Details

I. General information

NPI: 1992857403
Provider Name (Legal Business Name): ARMISTICE URGENT CARE & OCCUPATIONAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 ARMISTICE BLVD
PAWTUCKET RI
02860-3242
US

IV. Provider business mailing address

209 ARMISTICE BLVD
PAWTUCKET RI
02860-3242
US

V. Phone/Fax

Practice location:
  • Phone: 401-725-4100
  • Fax: 401-728-5010
Mailing address:
  • Phone: 401-725-4100
  • Fax: 401-728-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNE E NEVERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 401-725-4100