Provider Demographics
NPI:1891017067
Name:MEMORIAL HOSPITAL OF RI
Entity Type:Organization
Organization Name:MEMORIAL HOSPITAL OF RI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BACHELOR OF SCIENCE DEGREE IN ENG.
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-729-2000
Mailing Address - Street 1:329 PROSPECT ST
Mailing Address - Street 2:APT. 25
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5462
Mailing Address - Country:US
Mailing Address - Phone:401-808-5991
Mailing Address - Fax:
Practice Address - Street 1:329 PROSPECT ST
Practice Address - Street 2:APT. 25
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5462
Practice Address - Country:US
Practice Address - Phone:401-808-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP0129282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural