Healthcare Provider Details
I. General information
NPI: 1912973652
Provider Name (Legal Business Name): WARWICK URGENT CARE PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 BALD HILL RD SUITE 511
WARWICK RI
02886-1617
US
IV. Provider business mailing address
400 BALD HILL RD SUITE 511
WARWICK RI
02886-1617
US
V. Phone/Fax
- Phone: 401-737-4420
- Fax: 401-737-9934
- Phone: 401-737-4420
- Fax: 401-737-9934
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DANIEL
HALPREN-RUDER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 401-737-4420