Organization Active NPI

Harbour Medical

  • Primary Care Clinic/Center
  • East Greenwich, RI
National Provider Identifier
1699896746
Registry record updated Jul 3, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(8) exclusion effective Oct 26, 2009.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RI09760 Issued in RI
Legal business name
HARBOUR MEDICAL
Practice address
1000 Division St
Harbour Medical Suite #70
East Greenwich, RI 02818-2008
Phone
(401) 885-6636
Fax
(401) 885-4681
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2009

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

Authorized official

Name
Dr. James Robert Urban Jr., M.D.
Title
Owner and Operator
Phone
(401) 885-6636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RI09760 RI Primary
Urgent Care Clinic/Center 261QU0200X RI09760 RI

Addresses

Primary practice location

1000 Division St
Harbour Medical Suite #70
East Greenwich, RI 02818-2008

Mailing address

1000 Division St.
Harbour Medical Suite #70
East Greenwich, RI 02818
Phone (401) 885-6636

Other identifiers 1

IdentifierTypeStateIssuer
9002582MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1000 Division St
East Greenwich, RI 02818
Phone (401) 884-0586

1000 Division St
Ste 70
East Greenwich, RI 02818
Phone (401) 885-6636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1699896746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DIVISION ST.",
            "address_2": "HARBOUR MEDICAL SUITE #70",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-885-6636",
            "fax_number": "401-885-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DIVISION ST",
            "address_2": "HARBOUR MEDICAL SUITE #70",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028182008",
            "telephone_number": "401-885-6636",
            "fax_number": "401-885-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "401-885-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "RI",
            "license": "RI09760",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "RI",
            "license": "RI09760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002582",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.