Memorial Hospital

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEMORIAL HOSPITAL

Practice address

1000 Broad St
Central Falls, RI 02863-1507

Phone

(401) 729-2000

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Francis R Dietz

Title

Ceo Pres

Phone

(401) 729-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Notre Dame Amby Center Other name

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1841418928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028631507",
            "telephone_number": "401-729-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028631507",
            "telephone_number": "401-729-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO PRES",
        "authorized_official_telephone_number": "401-729-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002418",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Notre Dame Amby Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mansion, Inc (Mansion Nursing and Rehabilitation Center)
• Mirna J Manzano
• David Andrew Mathias, MD
• Maxi Drug South LP (Rite Aid Pharmacy 10230)
• Marissa McBurnie, PA-S
• Michele Bauer, CNM, LLC
• Ernesto A Mirabal, MD
• Cynthia Miranda, RD
• Jacqueline Molina
• Katherine Montilla

• Clinic/Center in Central Falls, RI
• Providers in Central Falls, RI by specialty
• Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.