Provider Demographics
NPI:1467578898
Name:COMPREHENSIVE MEDICAL CARE INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-334-1044
Mailing Address - Street 1:132 OLD RIVER RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-1161
Mailing Address - Country:US
Mailing Address - Phone:401-334-1044
Mailing Address - Fax:401-334-1054
Practice Address - Street 1:132 OLD RIVER RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1161
Practice Address - Country:US
Practice Address - Phone:401-334-1044
Practice Address - Fax:401-334-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI6572207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI004303OtherBLUE CHIP OF RI
RI20058-3OtherBLUE CROSS BLUE SHIELD
RIF09629Medicare UPIN