NPIMap

Organization Active NPI

St. Joseph Health Services of Ri

  • General Acute Care Hospital
  • North Providence, RI
National Provider Identifier
1992840862
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HOS00110 Issued in RI
Legal business name
ST. JOSEPH HEALTH SERVICES OF RI
Practice address
200 High Service Ave
North Providence, RI 02904-5113
Phone
(401) 456-3309
Fax
(401) 456-3762
NPI assigned
Feb 20, 2007
Reactivated
Dec 22, 2009
Organization subpart
Yes
Parent organization
ST JOSEPH HEALTH SERVICES OF RIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
John Fogarty, CEO
Title
President
Phone
(401) 456-3309

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X HOS00110 RI
General Acute Care Hospital 282N00000X HOS00110 RI Primary

Addresses

Primary practice location

200 High Service Ave
North Providence, RI 02904-5113

Mailing address

200 High Service Ave
4TH FL. Marion Hall
North Providence, RI 02904-5113
Phone (401) 456-3309

Other identifiers 1

IdentifierTypeStateIssuer
SJ09278MedicaidRI

Other names 1

  • PATHOLOGY GROUP Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychiatric Health Serv5 organizations share this tax ID, including this one
Part of
Psychiatric Health Serv

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1992840862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "address_2": "4TH FL. MARION HALL",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3309",
            "fax_number": "401-456-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3309",
            "fax_number": "401-456-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH SERVICES OF RI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH HEALTH SERVICES OF RI",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-07-09",
        "deactivation_date": "2007-09-19",
        "reactivation_date": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-456-3309",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "RI",
            "license": "HOS00110",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "RI",
            "license": "HOS00110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SJ09278",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATHOLOGY GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.