Providence Va Medical Center in Providence - Adult Mental Health
Providence Va Medical Center - NPI 1114940681
Providence Va Medical Center is a Adult Mental Health in Providence, Rhode Island. Providence Va Medical Center practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Providence Va Medical Center is 1114940681. The last update date is 2020-08-22.
Providence Va Medical Center's current location address is 830 Chalkstone Avenue, Providence, Rhode Island. You can contact this provider via phone number 4012737100 and fax number 4014573354. The mailing address for Providence Va Medical Center is 830 Chalkstone Avenue, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Va Medical Center |
|---|---|
| Address | 830 Chalkstone Avenue, Providence, Rhode Island |
| Phone Number | 4012737100 |
| Fax Number | 4014573354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF STAF |
|---|---|
| Authorized Official Name | Erickson D. Allan |
| Credentials | MD |
| Telephone Number | 4012737100 |
NPI Number Detail
| NPI Number | 1114940681 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 830 Chalkstone Avenue |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 20984799 |
| Phone Number | 4012737100 |
| Fax Number | 4014573354 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 18598 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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What is the unique 10-digit identification code assigned to Providence Va Medical Center by the Centers for Medicare & Medicaid Services?
The Providence Va Medical Center has been issued the NPI (National Provider Identifier) 1114940681, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Providence Va Medical Center's physical address?
The Providence Va Medical Center is physically located at 830 Chalkstone Avenue, in the city of Providence, RI, with the postal code 20984799.
What is the area of specialization for Providence Va Medical Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Providence Va Medical Center is Adult Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0850X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114940681 to Providence Va Medical Center?
The Providence Va Medical Center received its 1114940681 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information pertaining to Providence Va Medical Center most recently updated or revised?
The details related to Providence Va Medical Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.