Provider Demographics
NPI:1649404799
Name:NORTH SMITHFIELD URGENT CARE,LLC
Entity Type:Organization
Organization Name:NORTH SMITHFIELD URGENT CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:401-768-3700
Mailing Address - Street 1:594 GREAT RD
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-6810
Mailing Address - Country:US
Mailing Address - Phone:401-768-3700
Mailing Address - Fax:401-768-3703
Practice Address - Street 1:594 GREAT RD
Practice Address - Street 2:SUITE 103
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-6810
Practice Address - Country:US
Practice Address - Phone:401-768-3700
Practice Address - Fax:401-768-3703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI6374230001Medicare NSC
RI0013403Medicare PIN