Organization Active NPI

Ocean State Urgent Care at St Joseph Health Center LLC

  • Urgent Care Clinic/Center
  • Providence, RI
National Provider Identifier
1003284506
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OCEAN STATE URGENT CARE AT ST JOSEPH HEALTH CENTER LLC
Practice address
21 Peace St
Providence, RI 02907-1510
Phone
(301) 314-3999
Fax
(401) 808-6294
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank D'Alessandro, MD
Title
Partner
Phone
40133399595

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

21 Peace St
Providence, RI 02907-1510

Mailing address

2130 Mendon Rd
Suite 3-333
Cumberland, RI 02864-3844
Phone (401) 235-7310

Other identifiers 1

IdentifierTypeStateIssuer
1003284506MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1003284506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MENDON RD",
            "address_2": "SUITE 3-333",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643844",
            "telephone_number": "401-235-7310",
            "fax_number": "401-235-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEACE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071510",
            "telephone_number": "301-314-3999",
            "fax_number": "401-808-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE URGENT CARE AT ST JOSEPH HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "D'ALESSANDRO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "40133399595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003284506",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.