NPIMap

Organization Active NPI

St. Joseph Health Services of Ri

  • General Acute Care Hospital
  • North Providence, RI
National Provider Identifier
1508901448
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HOS00110 Issued in RI
Legal business name
ST. JOSEPH HEALTH SERVICES OF RI
Practice address
200 High Service Ave
North Providence, RI 02904-5113
Phone
(401) 456-3000
Fax
(401) 456-6742
NPI assigned
Feb 20, 2007
Reactivated
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Michael E. Conklin Jr., CFO
Title
SNR. Vice President
Phone
(401) 456-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X HOS00110 RI
General Acute Care Hospital 282N00000X HOS00110 RI Primary

Addresses

Primary practice location

200 High Service Ave
North Providence, RI 02904-5113

Mailing address

825 Chalkstone Ave
N. Campus Business Office, Attn: R. Soares
Providence, RI 02908-4728
Phone (401) 456-2525

Other identifiers 1

IdentifierTypeStateIssuer
SJ09267MedicaidRI

Other names 1

  • PULMONARY GROUP Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1508901448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "address_2": "N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2525",
            "fax_number": "401-456-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3000",
            "fax_number": "401-456-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH SERVICES OF RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-02-08",
        "deactivation_date": "2007-09-19",
        "reactivation_date": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SNR. VICE PRESIDENT",
        "authorized_official_telephone_number": "401-456-2000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "HOS00110",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "RI",
            "license": "HOS00110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SJ09267",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PULMONARY GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.