Armistice Urgent Care & Occupational Health, Inc.
Organization Active NPI Urgent Care Clinic/Center · Pawtucket, RI
NPI 1992857403 · NPPES record last updated Nov 4, 2008
Key facts
- NPI
- 1992857403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ARMISTICE URGENT CARE & OCCUPATIONAL HEALTH, INC.
- Practice address
- 209 Armistice Blvd
Pawtucket, RI 02860-3242 - Phone
- (401) 725-4100
- Fax
- (401) 728-5010
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Anne E Nevers
- Title
- Office Manager
- Phone
- (401) 725-4100
Subparts reporting this organization as parent 2
Member organizations 1
Practitioners 12
-
Karl Felber, DO
-
Danielle Renee Macdonald, PA-C
-
Jacob H. Sosa, PA-C
-
Vincent James Zizza III, D.O.
-
Sarah J Donahue, PA-C
-
Peter George Brassard, M.D.
-
Hung X. Pham, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0866052 | Armistice Urgent Care & Occupational Health Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070207000652 | RI | Part B Supplier - Clinic/Group Practice | 0941266415 |
Receives reassigned benefits from 9 practitioners Practice locations: Pawtucket, RI |
| O20100930024585 | RI | DME Supplier - Physician - Family Practice | 0941266415 | Practice locations: Pawtucket, RI |
National Provider Directory
Locations
209 Armistice Blvd
Pawtucket, RI 02860
Phone (401) 725-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
209 Armistice Blvd
Pawtucket, RI 02860-3242
Mailing address
209 Armistice Blvd
Pawtucket, RI 02860-3242
Phone (401) 725-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA6769 | Other | RRM | |
| 4591790001 | Other | RI | DMERC |
Other providers in Pawtucket, RI
- Lucy Arenas
- Diego Tomas Arene-Morley
- Meghan Areson
- Armistice Orthopedics, LLC.
- Armistice Primary Care, LLC
- Patricia Armitage
- Natalia Arraiol
- Jamy Arreola
- Stacey Arruda-Tracy
- Michaela Arruda
All providers in Pawtucket, RI · Urgent Care Clinic/Center in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.