Provider Demographics
NPI:1356441562
Name:NEWPORT HOSPITAL
Entity Type:Organization
Organization Name:NEWPORT HOSPITAL
Other - Org Name:NEWPORT EMERGENCY PHYSICIANS, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-444-7914
Mailing Address - Street 1:11 FRIENDSHIP ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2209
Mailing Address - Country:US
Mailing Address - Phone:401-845-1593
Mailing Address - Fax:401-847-0650
Practice Address - Street 1:11 FRIENDSHIP ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2209
Practice Address - Country:US
Practice Address - Phone:401-845-1593
Practice Address - Fax:401-847-0650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWPORT HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-25
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9006743Medicaid
RI9006743Medicaid