Active NPI
Harbour Medical
- Primary Care Clinic/Center
- East Greenwich, RI
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.
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- RI09760
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9002582 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Cranston, RI
- NPI 1902812480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.