NPIMap

Organization Active NPI

Prospect Chartercare RWMC, LLC

  • General Acute Care Hospital
  • Coventry, RI
National Provider Identifier
1528469707
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PROSPECT CHARTERCARE RWMC, LLC
Practice address
84 Colvintown Rd
Coventry, RI 02816-8516
Phone
(401) 480-7002
Fax
(401) 861-9596
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Ms. Holli Jean Brousseau
Title
Nurse Pratitioner
Phone
(401) 456-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

84 Colvintown Rd
Coventry, RI 02816-8516

Mailing address

84 Colvintown Rd
Coventry, RI 02816-8516
Phone (401) 480-7002

Other names 1

  • Roger Williams Medical Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
RW Pathology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1528469707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 COLVINTOWN RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168516",
            "telephone_number": "401-480-7002",
            "fax_number": "401-861-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 COLVINTOWN RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168516",
            "telephone_number": "401-480-7002",
            "fax_number": "401-861-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT CHARTERCARE RWMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "BROUSSEAU",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "NURSE PRATITIONER",
        "authorized_official_telephone_number": "401-456-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger Williams Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.