Atmed Treatment Center, Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD07335 Issued in RI

Legal business name

ATMED TREATMENT CENTER, INC

Practice address

5750 Post Rd
East Greenwich, RI 02818-2139

Phone

(401) 273-9410

NPI assigned

Nov 9, 2012

Organization subpart

Yes

Parent organization

MEDVEANTX, INCAs reported in NPPES

Name

Kenny Heine

Title

VP Ops

Phone

(858) 964-1506

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Tri - State Medical Group Inc

• Atmed Treatment South Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2012.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1336493535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 POST RD",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028182139",
            "telephone_number": "401-273-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATMED TREATMENT CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVEANTX, INC",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "RI",
            "license": "MD07335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atmed Treatment South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in East Greenwich, RI
• Non-Pharmacy Dispensing Site in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.