Provider Demographics
NPI:1073649471
Name:ACCESSPOINT RI
Entity Type:Organization
Organization Name:ACCESSPOINT RI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:CONCANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-941-1112
Mailing Address - Street 1:PO BOX 20130
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-0942
Mailing Address - Country:US
Mailing Address - Phone:401-941-1112
Mailing Address - Fax:401-941-1112
Practice Address - Street 1:111 COMSTOCK PKWY
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-2002
Practice Address - Country:US
Practice Address - Phone:401-941-1112
Practice Address - Fax:401-941-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICA46728OtherEDS PROVIDER NO.