Northwest Radiology
Organization Active NPI Radiology Clinic/Center · Pascoag, RI
NPI 1104098441 · NPPES record last updated Apr 16, 2008
Key facts
- NPI
- 1104098441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- License
- RAD0142 (RI)
- Legal business name
- NORTHWEST RADIOLOGY
- Practice address
- 36 Bridge Way
Pascoag, RI 02859-3131 - Phone
- (401) 568-7661
- Fax
- (401) 567-0900
- NPI assigned
- Mar 27, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTHWEST COMMUNITY HEALTH CARE
Authorized official
- Name
- Mr. Peter Bancroft
- Title
- Ceo
- Phone
- (401) 568-7661
National Provider Directory
- Part of
- Northwest Dental
Locations
36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | RAD0142 | RI | Yes |
Addresses
Primary practice location
36 Bridge Way
Pascoag, RI 02859-3131
Mailing address
36 Bridge Way
Pascoag, RI 02859-3131
Phone (401) 568-7661
Other providers in Pascoag, RI
- Northwest Community Health Care
- Northwest Community Health Care
- Northwest Community Health Care
- Northwest Community Health Care
- Northwest Dental
- Maureen Day O'Shea
- Dayna Eveyln Orourke
- Overlook Eden Operations, LLC
- Mikayla Noelle Page
- Michele Marie Paquet
All providers in Pascoag, RI · Radiology Clinic/Center in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.