Provider Demographics
NPI:1639277072
Name:HYPERTENSION & NEPHROLOGY, INC.
Entity Type:Organization
Organization Name:HYPERTENSION & NEPHROLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-861-7711
Mailing Address - Street 1:1076 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-5760
Mailing Address - Country:US
Mailing Address - Phone:401-861-7711
Mailing Address - Fax:401-421-5710
Practice Address - Street 1:1076 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-5760
Practice Address - Country:US
Practice Address - Phone:401-861-7711
Practice Address - Fax:401-421-5710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHN00268Medicaid
RIHN00268Medicaid