Chartercare Roger Williams Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

CHARTERCARE ROGER WILLIAMS MEDICAL CENTER

Practice address

825 Chalkstone Ave
Providence, RI 02908-4728

Phone

(401) 456-2000

Fax

(401) 456-2029

NPI assigned

Jul 30, 2024

Organization subpart

No

Name

Jeffrey Liebman

Title

Ceo

Phone

(401) 456-3001

Tax ID family

Chartercare Roger Williams Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chartercare Roger Williams Medical Center

  • Cardiovascular Disease Physician
  • Providence, RI
  • NPI 1376372243
  NPD tax ID
• Chartercare Roger Williams Medical Center

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1801625777
  NPD tax ID

• Roger Williams Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2024.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1386473247",
    "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",
            "telephone_number": "401-456-2000",
            "fax_number": "401-456-2029"
        },
        {
            "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",
            "fax_number": "401-456-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTERCARE ROGER WILLIAMS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "LIEBMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-456-3001"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger Williams Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Charron, LICSW
• Chartercare Associates in Primary Care Medicine, LLC
• Chartercare Health Partners
• Chartercare Home Health and Hospice, LLC
• Chartercare Roger Williams Medical Center
• Chartercare Roger Williams Medical Center
• Chartercare Roger Williams Medical Center
• Ashley Leslie Chartier, AGACNP-BC
• Debra B Charzewski, CCC-SLP
• Aquilla Jane Chase, MD

• All providers in Providence, RI
• Psychiatric Hospital Unit in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.