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1649820473 NPI number — BLOCK ISLAND HEALTH SERVICS

NPI Number: 1649820473
Health Care Provider/Practitioner: BLOCK ISLAND HEALTH SERVICS

Information about “1649820473” NPI (BLOCK ISLAND HEALTH SERVICS) exists in 1649820473 in HTML format HTML  |  1649820473 in plain Text format TXT  |  1649820473 in PDF (Portable Document Format) PDF  |  1649820473 in an XML format XML  formats.

NPI Number : 1649820473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649820473",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BLOCK ISLAND HEALTH SERVICS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 919",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLOCK ISLAND",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02807-0919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-466-2974",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6 PAYNE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLOCK ISLAND",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02807-7761",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-466-2974",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/13/2019",
    "LastUpdateDate": "09/13/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLARK",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO/MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "917-566-7460",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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