Providence Medical Healthcare Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PROVIDENCE MEDICAL HEALTHCARE CENTER

Practice address

80 Dean St
Providence, RI 02903-1504

Phone

(401) 521-3270

Fax

(401) 521-6532

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Silvio Vitelli, M.D.

Title

Treasurer

Phone

(401) 521-3270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicus Doing business as

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1164575338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DEAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031504",
            "telephone_number": "401-521-3270",
            "fax_number": "401-521-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DEAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031504",
            "telephone_number": "401-521-3270",
            "fax_number": "401-521-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE MEDICAL HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "VITELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SILVIO",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "401-521-3270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PM24729",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Dental Sleep Center LLC
• Providence Eye Associates, Inc.
• Providence Integrative Wellness
• Providence Interventional Associates II LLC
• Providence Interventional Associates II LLC
• Providence Medical Supplies
• Providence Metro Treatment Center
• Providence Nutrition, LLC
• Providence Orthodontics, LLC
• Providence Pediatrics

• Urgent Care Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Urgent Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.