Provider Demographics
NPI:1598007221
Name:HEARING CENTERS OF RHODE ISLAND
Entity Type:Organization
Organization Name:HEARING CENTERS OF RHODE ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAFANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-616-1719
Mailing Address - Street 1:333 SCHOOL STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860
Mailing Address - Country:US
Mailing Address - Phone:401-723-5110
Mailing Address - Fax:401-723-8391
Practice Address - Street 1:333 SCHOOL ST
Practice Address - Street 2:SUITE 210
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5334
Practice Address - Country:US
Practice Address - Phone:401-723-5110
Practice Address - Fax:401-723-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1346473774OtherNPI
RI1407027428OtherNPI