Healthcare Provider Details

I. General information

NPI: 1407011133
Provider Name (Legal Business Name): RHODE ISLAND HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date: 05/18/2011
Reactivation Date: 09/26/2012

III. Provider practice location address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

15 LA SALLE SQ
PROVIDENCE RI
02903-1814
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-5640
  • Fax: 401-444-5462
Mailing address:
  • Phone: 401-444-5640
  • Fax: 401-444-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number StateRI

VIII. Authorized Official

Name: EVA GREENWOOD
Title or Position: SVP, FINANCE
Credential:
Phone: 401-444-7914