Blackstone Valley Center for Internal Medicine, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLACKSTONE VALLEY CENTER FOR INTERNAL MEDICINE, INC

Practice address

191 Social St
Suite 840
Woonsocket, RI 02895-3240

Phone

(401) 762-2535

Fax

(401) 762-2858

NPI assigned

Apr 26, 2006

Last updated

Aug 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Greigstone Montgomery Yearwood, M.D.NPI 1689631640

Title

President/Physician

Phone

(401) 762-2535

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Tax ID family

Blackstone Valley Center for Internal Medicineinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Blackstone Valley Center for Internal Medicine,Inc.

  • Non-Pharmacy Dispensing Site
  • Woonsocket, RI
  • NPI 1326188095
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greigstone Montgomery Yearwood, M.D.

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1689631640
  Medicare reassignment NPD Authorized official
• Scott Andrew Allen, M.D.

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1184681710
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1659338655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SOCIAL ST",
            "address_2": "SUITE 840",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953240",
            "telephone_number": "401-762-2535",
            "fax_number": "401-762-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SOCIAL ST",
            "address_2": "SUITE 840",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953240",
            "telephone_number": "401-762-2535",
            "fax_number": "401-762-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VALLEY CENTER FOR INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "YEARWOOD",
        "authorized_official_first_name": "GREIGSTONE",
        "authorized_official_middle_name": "MONTGOMERY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "401-762-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020093",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blackstone Medical Center, Inc.
• Blackstone Medical Center, Inc.
• Blackstone Medical Center, Inc.
• Blackstone Medical Center, Inc.
• Blackstone Medical Center, Inc.
• Blackstone Valley Center for Internal Medicine,Inc.
• Blackstone Valley Eye Care, P.C.
• Blackstone Valley Optometry PC
• Abigail Blais, PA
• Andrew Cecil Blake Jr., MD

• Primary Care Clinic/Center in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.