Healthcare Provider Details
I. General information
NPI: 1447233788
Provider Name (Legal Business Name): WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2005
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 DUDLEY ST
PROVIDENCE RI
02905-2401
US
IV. Provider business mailing address
101 DUDLEY ST
PROVIDENCE RI
02905-2401
US
V. Phone/Fax
- Phone: 401-274-1122
- Fax: 401-453-7597
- Phone: 401-274-1122
- Fax: 401-453-7597
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0105X |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | HOS 00126 |
| License Number State | RI |
VIII. Authorized Official
Name: MR.
THOMAS
P
RICCI
III
Title or Position: VP OF FINANCE
Credential:
Phone: 401-430-1003