Provider Demographics
NPI:1326434440
Name:UPWARD HEALTH NATIONAL LLC
Entity Type:Organization
Organization Name:UPWARD HEALTH NATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHENGTAO
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-985-5455
Mailing Address - Street 1:UPWARD HEALTH OF RHODE ISLAND PC
Mailing Address - Street 2:188 VALLEY STREET, SUITE 201
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909
Mailing Address - Country:US
Mailing Address - Phone:888-985-5455
Mailing Address - Fax:
Practice Address - Street 1:188 VALLEY ST STE 201
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-2468
Practice Address - Country:US
Practice Address - Phone:401-648-6200
Practice Address - Fax:877-985-7622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty