Roger Williams Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROGER WILLIAMS MEDICAL CENTER

Practice address

825 Chalkstone Ave
Providence, RI 02908-4728

Phone

(401) 456-2000

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Cynthia Boutin

Title

Coordinator

Phone

(401) 456-2070

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1205563731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER WILLIAMS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BOUTIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "401-456-2070"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF RHODE ISLAND DEPARTMENT OF HEALTH",
            "identifier": "LP05722",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chartercare.org",
            "affiliation": "N",
            "endpointDescription": "chartercare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "825 Chalkstone Ave",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029084728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roger Williams Hospital
• Roger Williams Hospital
• Roger Williams Medical Associates Inc.
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.