Healthcare Provider Details

I. General information

NPI: 1669024329
Provider Name (Legal Business Name): THE RHODE ISLAND PUBLIC HEALTH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CENTRAL ST
PROVIDENCE RI
02907-2201
US

IV. Provider business mailing address

PO BOX 6088
PROVIDENCE RI
02940-6088
US

V. Phone/Fax

Practice location:
  • Phone: 401-648-4700
  • Fax: 833-905-2260
Mailing address:
  • Phone: 401-648-4700
  • Fax: 833-905-2260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY NUNN
Title or Position: CEO
Credential:
Phone: 401-648-4700