Healthcare Provider Details
I. General information
NPI: 1033345632
Provider Name (Legal Business Name): BARRINGTON URGENT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2009
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
381 WICKENDEN ST
PROVIDENCE RI
02903-4425
US
IV. Provider business mailing address
381 WICKENDEN ST
PROVIDENCE RI
02903-4425
US
V. Phone/Fax
- Phone: 401-433-7550
- Fax: 401-490-0905
- Phone: 401-433-7550
- Fax: 401-439-7785
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
BRIER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 401-433-7550