Provider Demographics
NPI:1316187941
Name:POWERS FAMILY HEALTH
Entity Type:Organization
Organization Name:POWERS FAMILY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONYA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-722-4711
Mailing Address - Street 1:174 ARMISTICE BLVD STE A1
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3269
Mailing Address - Country:US
Mailing Address - Phone:401-722-4711
Mailing Address - Fax:
Practice Address - Street 1:174 ARMISTICE BLVD STE A1
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3269
Practice Address - Country:US
Practice Address - Phone:401-722-4711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 006532207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty