MEDICARE: BRIDGES INC

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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	114	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376698506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGES INC

Provider Business Mailing Address
First Line	:	7 CLINTON AVE
Second Line	:
City	:	JAMESTOWN
State	:	RI
Zip	:	02835-1203
Country	:	US
Telephone Number	:	401-423-1153
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 LAUREL LN
Second Line	:
City	:	WEST KINGSTON
State	:	RI
Zip	:	02892-1959
Country	:	US
Telephone Number	:	401-423-1153
Fax Number	:

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	SHEILA MCDONNELL
Credential	:
Telephone Number	:	401-423-1153

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/22/2020

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Directions to “BRIDGES INC ” Practice Location

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