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NPI Code Detail

MEDICARE: OCEAN STATE URGENT CARE CENTER OF CUMBERLAND, LLC

MEDICARE: OCEAN STATE URGENT CARE CENTER OF CUMBERLAND, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1275971400
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN STATE URGENT CARE CENTER OF CUMBERLAND, LLC
Provider Business Mailing Address
First Line : 2140 MENDON RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3843
Country : US
Telephone Number : 401-334-9630
Fax Number : 401-334-0563
Provider Business Practice Location Address
First Line : 2140 MENDON RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3843
Country : US
Telephone Number : 401-334-9630
Fax Number : 401-334-0563
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : FRANK M D'ALESSANDRO
Credential : MD
Telephone Number : 401-334-9630
Provider Enumeration Date : 06/10/2013
Last Update Date : 06/10/2013

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Directions to “OCEAN STATE URGENT CARE CENTER OF CUMBERLAND, LLC ” Practice Location

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