Healthcare Provider Details

I. General information

NPI: 1730186776
Provider Name (Legal Business Name): KENT COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 05/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 KNIGHT ST BLDG. D15
WARWICK RI
02886-1281
US

IV. Provider business mailing address

11 KNIGHT ST BLDG. D15
WARWICK RI
02886-1281
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-0022
  • Fax: 401-681-1090
Mailing address:
  • Phone: 401-732-0022
  • Fax: 401-681-1090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA L COLETTA
Title or Position: PRESIDENT
Credential:
Phone: 401-737-7010