Healthcare Provider Details

I. General information

NPI: 1841440526
Provider Name (Legal Business Name): RIH ORTHOPEDIC FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 DUDLEY ST SUITE 200
PROVIDENCE RI
02905-3236
US

IV. Provider business mailing address

2 DUDLEY ST SUITE 200
PROVIDENCE RI
02905-3236
US

V. Phone/Fax

Practice location:
  • Phone: 401-457-1506
  • Fax: 401-457-1521
Mailing address:
  • Phone: 401-457-1506
  • Fax: 401-457-1521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MARY SELMANIE SPURR
Title or Position: PRIVACY OFFICER
Credential:
Phone: 401-457-1506