Chartercare Associates in Primary Care Medicine, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

CHARTERCARE ASSOCIATES IN PRIMARY CARE MEDICINE, LLC

Doing business as

CharterCare Medical Associates Infusion Center

Practice address

50 Maude St
Providence, RI 02908-4325

Phone

(401) 456-2360

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By 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

Robert Elders

Title

Secretary

Phone

(714) 788-1249

Specialties & licenses 1

Addresses

Other names 1

• CharterCare Medical Associates Infusion Center Doing business as

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1952117376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE OFC",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2525",
            "fax_number": "401-456-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTERCARE ASSOCIATES IN PRIMARY CARE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CharterCare Medical Associates Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infusion Therapy Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Infusion Therapy Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.