Emma Pendleton Bradley Hospital | |
1011 Veterans Memorial Pkwy Riverside RI 02915-5061 | |
(401) 444-6966 | |
Not Available |
Full Name | Emma Pendleton Bradley Hospital |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1011 Veterans Memorial Pkwy, Riverside, Rhode Island |
Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
Authorized Official Contact | 4014447914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emma Pendleton Bradley Hospital 117 Ellenfield St Ste 101 Providence RI 02905-4541 Ph: (401) 444-6779 | Emma Pendleton Bradley Hospital 1011 Veterans Memorial Pkwy Riverside RI 02915-5061 Ph: (401) 444-6966 |
NPI Number | 1073705943 |
---|---|
Provider Enumeration Date | 08/15/2007 |
Last Update Date | 04/26/2023 |
Certification Date | 04/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073705943 | NPI | - | NPPES |
EP41762 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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