Pawtuxet Valley Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4612 Issued in RI

Legal business name

PAWTUXET VALLEY MEDICAL, INC

Doing business as

Pawtuxet Valley Urgent Care

Practice address

982 Tiogue Ave
Coventry, RI 02816-6167

Phone

(401) 821-6800

Fax

(401) 821-8513

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Daniel F. Collins, M.D.

Title

President

Phone

(401) 821-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pawtuxet Valley Urgent Care Doing business as

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1043431018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166167",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166167",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWTUXET VALLEY MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-821-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "0190006",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawtuxet Valley Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Paliotti
• Carolyn Jeanne Pare, LPC, LMHC
• Jessica Patalano, PT, DPT
• Srushti Patel
• Pawtuxet Valley Family Care, LLC
• Pawtuxet Valley Medical, Inc.
• Pawtuxet Valley Prescription & Surgical Center,Inc
• Pawtuxet Valley Prescription & Surgical Center,Inc
• Pawtuxet Valley Prescription & Surgical Center,Inc
• Pawtuxet Valley Prescription & Surgical Center,Inc

• Durable Medical Equipment & Medical Supplies in Coventry, RI
• Providers in Coventry, RI by specialty
• Durable Medical Equipment & Medical Supplies in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.