Organization Active NPI

Primary Care Partners

  • Primary Care Clinic/Center
  • Warwick, RI
National Provider Identifier
1548538473
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE PARTNERS
Practice address
2756 Post Rd
Warwick, RI 02886-3003
Phone
(401) 691-6000
Fax
(401) 738-7718
NPI assigned
Dec 7, 2011
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
THE KENT CENTER FOR HUMAN & ORGANIZATIONAL DEVELOPMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
David Lauterbach, ACSW
Title
President/Ceo
Phone
(401) 691-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RI Primary

Addresses

Primary practice location

2756 Post Rd
Warwick, RI 02886-3003

Mailing address

2756 Post Rd
Warwick, RI 02886-3003
Phone (401) 691-6000

Other identifiers 1

IdentifierTypeStateIssuer
TH87001MedicaidRI

Other names 1

  • The Kent Center for Human & Organizational Development Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000297 RI Part B Supplier - Clinic/Group Practice 4082528245 Receives reassigned benefits from 68 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warwick, RI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Kent County Mental Heal

Locations

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1548538473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863003",
            "telephone_number": "401-691-6000",
            "fax_number": "401-738-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863003",
            "telephone_number": "401-691-6000",
            "fax_number": "401-738-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KENT CENTER FOR HUMAN & ORGANIZATIONAL DEVELOPMENT",
        "enumeration_date": "2011-12-07",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "LAUTERBACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "401-691-6000",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH87001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kent Center for Human & Organizational Development",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.